Search › Oklahoma › 171M00000X
Jamal Johnson
NPI 1669309829 · on the registry since 2026
Practice
- Address
- 3701 S Sequoia Ave
Broken Arrow, OK 74011 - Phone
- (918) 955-8600
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- OK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-04
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