Stephanie R Johnson
Physician Assistant in Tulsa, OK. Individual provider (NPI-1).
NPI number1669974754
StatusActive
Last updated in NPPESJul 31, 2025
Details
- NPI
- 1669974754
- Entity type
- Individual (NPI-1)
- Name
- Stephanie R Johnson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 5, 2018
- Certification date
- Jul 31, 2025
- Last updated
- Jul 31, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
9306 S Toledo CtTulsa, OK 74137-2757
Phone 918-494-0400 · Fax 918-876-3437
Mailing address
9228 S Mingo Rd Ste 200Tulsa, OK 74133-5722
Phone 918-592-0999 · Fax 918-592-1021
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