| Dawna Herron Johnson, Pc | |
|
607 South A Avenue Oilton OK 74052-0520 | |
| (918) 862-3700 | |
| (918) 862-3703 |
| Full Name | Dawna Herron Johnson, Pc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 607 South A Avenue, Oilton, Oklahoma |
| Authorized Official Name and Position | Dawna M Herron-johnson (OWNER) |
| Authorized Official Contact | 9188657936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawna Herron Johnson, Pc Po Box 520 607 South A Avenue Oilton OK 74052-0520 Ph: (918) 862-3700 | Dawna Herron Johnson, Pc 607 South A Avenue Oilton OK 74052-0520 Ph: (918) 862-3700 |
| NPI Number | 1801039672 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 03/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801039672 | NPI | - | NPPES |
| 1578518312 | Other | OK | NATIONAL PROVIDER IDENTIFIER |
| 100850400A | Medicaid | OK | |
| 30487 | Other | OK | OKLAHOMA STATE BUREAU OF NARCOTICS AND DANGEROUS DRUGS CONTROL |
| R0062363 | Other | OK | OKLAHOMA BOARD OF NURSING |
| F0802259 | Other | OK | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | R0062363 (Oklahoma) | Primary |