MRS. JEANETTE JOHNSON O.T. R./L
NPI 1053349308
Specialist in Broken Arrow, OK

Q: What is Jeanette Johnson's NPI number?

The NPI number for Jeanette Johnson is 1053349308. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Jeanette Johnson's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Jeanette Johnson was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 28, 2006

2208 N YELLOWOOD AVE, BROKEN ARROW, OK 74012(918) 286-1261 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Jeanette Johnson O.t. R./l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JEANETTE JOHNSON O.T. R./L (NPI 1053349308) is an individual specialist in Broken Arrow, Oklahoma, licensed in Oklahoma (500) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1053349308

Entity TypeIndividualFemale

Primary Taxonomy174400000X

Provider Legal NameMRS. JEANETTE JOHNSONCredential: O.T. R./L

Location Address2208 N YELLOWOOD AVEBroken Arrow, OK 74012-9102

Mailing Address2208 N Yellowood AveBroken Arrow, OK 74012-9102 · (918) 286-1261 · Fax (918) 286-1265

Phone(918) 286-1261

Sole ProprietorNo

Enumeration DateJune 28, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1053349308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OK · 500

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2208 N YELLOWOOD AVE, Broken Arrow, OK 74012

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Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DOUGLAS MITCHELL

Specialist