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Jace Johnson, CPO

NPI 1568131191 · on the registry since 2021 · sole proprietor

Practice

Address
429 W Centerton Blvd
Centerton, AR 72719
Phone
(918) 843-0713
Clinicians at this address
2

Registry record

Primary taxonomy
224L00000X
224L00000X
Licence states on file
AR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arkansas