DENISE WAYNETTE JOHNSON (NPI# 1275844664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275844664 |
| Entity Type | Individual |
| Full Name | DENISE WAYNETTE JOHNSON |
| Credential | P.A.-C |
| Practice Address |
1701 South 4th Clinton OK 73601 |
| Practice Telephone | 5803312200 |
| Practice Fax Number | 5803312239 |
| Mailing Telephone | 5803312296 |
| Mailing Fax Number | 5803312267 |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2017-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1898 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134751100 | Denise Da Pra Johnson | Speech-Language Pathologist | 2900 Salerno Way, Delray Beach, FL 33445-7148 | 2020-02-07 |
| 1417507526 | Denise Johnson | Nurse Practitioner | 115 Bolyn Ct, Mullins, SC 29574-2212 | 2019-09-19 |
| 1417417916 | Denise Lynn Johnson | Licensed Vocational Nurse | 8690 County Road 3814, Athens, TX 75752-6797 | 2019-03-21 |
| 1609355684 | Denise Renee Johnson | Technician | 150 Q St Ne Apt 1503, Washington, DC 20002-2384 | 2018-08-09 |
| 1649770801 | Denise Janine Johnson | General Practice | 1184 Polaris Pkwy, Columbus, OH 43240-2024 | 2018-02-14 |
| 1831697317 | Denise June Johnson | Counselor | 906 Lincoln St, Jackson, MI 49202-3251 | 2018-01-30 |
| 1881079838 | Denise Johnson | Registered Nurse | 1159 6th Ave, #211, San Diego, CA 92101-5203 | 2015-07-20 |
| 1407242795 | Denise Johnson | Nurse Practitioner | 4200 Chris Dr Sw, #100, Huntsville, AL 35802-4197 | 2015-04-13 |
| 1699016071 | Denise Johnson | Licensed Practical Nurse | 1083 Webertown Rd, Lynchburg, OH 45142-9762 | 2013-03-08 |
| 1184936528 | Denise Johnson | Social Worker | 1916 N Hanley Rd, Saint Louis, MO 63114-6314 | 2010-07-13 |
| Street Address |
1701 SOUTH 4TH |
| City | CLINTON |
| State | OK |
| Zip Code | 73601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225295710 | State of Oklahoma | Skilled Nursing Facility | 1701 South 4th, Clinton, OK 73601-1209 | 2008-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514458 | April Walker | Pharmacist | 100 N. 30th, Clinton, OK 73601 | 2018-07-11 |
| 1477045995 | Dynamic Psychological & Mediation Services | Counselor | 104 S 7th St, Clinton, OK 73601 | 2018-05-31 |
| 1619490851 | Kristyn Wagner | Social Worker | 90 N 31st Street, Clinton, OK 73601 | 2017-07-19 |
| 1124478193 | Lindsay Dlugonski | Nurse Practitioner | 545 S. 30th Street, Clinton, OK 73601 | 2016-06-20 |
| 1881059434 | Cathrine Mears | Counselor | 94 N 31st, Clinton, OK 73601 | 2015-12-28 |
| 1326464603 | Melissa Lucia Torres | Nurse Practitioner | 3140 W. Hayes, Clinton, OK 73601 | 2014-03-11 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1881950970 | Namen Bouma | Counselor | 70-100 N. 31st Street, Clinton, OK 73601 | 2012-04-03 |
| 1366717928 | Sherri Lee Milliron | Counselor | 70-100 N 31st, Clinton, OK 73601 | 2012-03-15 |
| 1740597087 | Susan Kathleen Hodges | Counselor | 19 Sunset Place, Clinton, OK 73601 | 2010-09-08 |
| Find all providers in zip 73601 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336617059 | Micaela L Goebel | Physician Assistant | 120 Tanner Pl Bldg H, Clinton, TN 37716-6684 | 2018-11-12 |
| 1407944721 | Brent Ashley Westbrook | Physician Assistant | 48 Stillwater Ln, Clinton, NC 28328-6119 | 2006-10-11 |
| 1699881219 | Heather Lynn Beck | Physician Assistant | 10401 Hospital Dr Ste 101, Clinton, MD 20735-3150 | 2006-08-23 |
| 1760042782 | Alexandra Jo Burrini | Physician Assistant | 59 Old Highway 22, Clinton, NJ 08809-1342 | 2019-06-20 |
| 1801349279 | Sara Cobb | Physician Assistant | 59 Old Highway 22, Clinton, NJ 08809-1342 | 2016-08-02 |
| 1861844979 | Will Godfrey | Physician Assistant | 22725 Highway 76 E, Clinton, SC 29325-7527 | 2016-07-13 |
| 1538526959 | Suzzette Van-lare | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2016-01-16 |
| 1811371685 | Dermone | Physician Assistant | 603 Beaman St, Clinton, NC 28328-2650 | 2015-07-12 |
| 1477940898 | Melissa Weeter | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2015-04-23 |
| 1982097085 | Mirella Cortez | Physician Assistant | 7503 Surratts Rd, Clinton, MD 20735-3358 | 2015-03-13 |
| Find all providers in CLINTON | ||||
Please comment or provide details below to improve the information on DENISE WAYNETTE JOHNSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.