SearchOklahoma106S00000X

Destinee Johnson

NPI 1619557345 · on the registry since 2021

Practice

Address
1012 Nw Grand Blvd
Oklahoma City, OK 73118
Phone
(405) 594-8336
Fax
(832) 383-5347
Clinicians at this address
18

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-04-08

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 Oklahoma