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Search › Oklahoma › 101YM0800X

Cicely Johnson

NPI 1639864069 · on the registry since 2023 · sole proprietor

Practice

Address
10400 Vineyard Blvd Ste C
Oklahoma City, OK 73120
Phone
(405) 242-5305
Organisation at this address
Nourished
Love & Light
Fsc Kids, Llc
Beacon Pointe, Llc
Miraworx Of Okc 1 Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
31

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-10-15

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