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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE R JOHNSON
NPI 1689612939
Nurse Practitioner - Family in Edmond, OK

Active since June 02, 2006
100 N UNIVERSITY DR, EDMOND, OK 73034(405) 974-2317(405) 974-3832 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacqueline R Johnson NPPES

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

JACQUELINE R JOHNSON (NPI 1689612939) is an individual family provider in Edmond, Oklahoma, licensed in Oklahoma (R0036896) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1689612939
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACQUELINE R JOHNSON
Location Address100 N UNIVERSITY DREdmond, OK 73034-5207
Mailing AddressPo Box 5199Abilene, TX 79608-5199 · (325) 437-8300 · Fax (325) 437-8399
Phone(405) 974-2317
Fax(405) 974-3832
Sole ProprietorNo
Enumeration DateJune 2, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1689612939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in OK · R0036896
100 N UNIVERSITY DR, Edmond, OK 73034
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Other Providers at the Same Location NPPES 20

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

HAYDEN DOYLE
Specialist/Technologist (Athletic Trainer)
100 N UNIVERSITY DR
EDMOND, OK 73034
Oklahoma County (405) 974-2727
MELISSA KATZENBERGER MS, ATC
Specialist/Technologist (Athletic Trainer)
100 N UNIVERSITY DR
EDMOND, OK 73034
Oklahoma County (059) 742-1674
CATHY TAM VU
Student in an Organized Health Care Education/Training Program
100 N UNIVERSITY DR
EDMOND, OK 73034
Oklahoma County (405) 974-2959
UNIVERSITY OF CENTRAL OKLAHOMA
Orthopaedic Surgery
100 N UNIVERSITY DR
EDMOND, OK 73034
Oklahoma County (972) 367-4845
EMILEE RAELYNN BURDGE AAT
Student in an Organized Health Care Education/Training Program
100 N UNIVERSITY DR
EDMOND, OK 73034
Oklahoma County (918) 930-0156
CAMERON JENKINS
Student in an Organized Health Care Education/Training Program
100 N UNIVERSITY DR
EDMOND, OK 73034
Oklahoma County (405) 315-2880
SHAKOTA LACY CHEYENNE NEAL
Specialist/Technologist (Athletic Trainer)
100 N UNIVERSITY DR
EDMOND, OK 73034
Oklahoma County (405) 514-1215
CHANEL GORDON
Student in an Organized Health Care Education/Training Program
100 N UNIVERSITY DR
EDMOND, OK 73034
Oklahoma County (405) 974-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Johnson's NPI number?

The NPI number for Jacqueline Johnson is 1689612939. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Jacqueline Johnson located?

Jacqueline Johnson practices at 100 N University Dr, Edmond, OK 73034. The listed phone number is (405) 974-2317.

What is Jacqueline Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jacqueline Johnson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.