Jennifer Cherokee Nicole Johnson
Peer Specialist in Tahlequah, OK. Individual provider (NPI-1).
NPI number1013792001
StatusActive
Last updated in NPPESAug 28, 2023
Details
- NPI
- 1013792001
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Cherokee Nicole Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2023
- Certification date
- Aug 28, 2023
- Last updated
- Aug 28, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
1011 S Muskogee AveTahlequah, OK 74464-4733
Phone 918-525-6035
Mailing address
1011 S Muskogee AveTahlequah, OK 74464-4733
Phone 918-525-6035
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All 135 Peer Specialist providers in Tahlequah · All 1,444 providers in Tahlequah
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