Bonnie J Johnston, APRN
Nurse Practitioner, Family in Collinsville, OK. Individual provider (NPI-1).
NPI number1982194254
StatusActive
Last updated in NPPESOct 26, 2018
Details
- NPI
- 1982194254
- Entity type
- Individual (NPI-1)
- Name
- Bonnie J Johnston
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 12, 2018
- Last updated
- Oct 26, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | R0053713 | OK | Yes |
| 163W00000X | Registered Nurse | R0053713 | OK |
Practice location
526 E Center StCollinsville, OK 74021
Phone 918-899-9700
Mailing address
1705 E 19th StSte 302
Tulsa, OK 74104-5410
Phone 918-748-7585 · Fax 918-403-6352
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All 10 Family Nurse Practitioner providers in Collinsville · All 137 providers in Collinsville
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