Kelly Johnson, NP

NURSE PRACTITIONER

3209 S Broadway

Suite 229

Edmond, OK 730134064

(551) 295-8223

**NPI:** 1700345345

**Med School:** OTHER

**Experience:** 7 years

**Telehealth:** No

**Medicare Assignment:** May Accept

Practice Locations (2)

ENNOBLE HC NJ PC

3209 S Broadway, Suite 229
Edmond, OK 730134064

Phone: (551) 295-8223

**Group ID:** 0345638185 | **Group Size:** 82 members

NR STILLWATER LLC

1411 W 12th Ave, Suite D
Stillwater, OK 740745482

Phone: (405) 953-8316

**Group ID:** 9830634419 | **Group Size:** 3 members

STILLWATER MEDICAL CENTER Type: Hospital
1323 WEST 6TH STREET
Phone: (405) 372-1480
Medicare CCN: 370049 View Profile

Hospital Type: Hospital
Medicare CCN: 370780 View Profile

Home health agency Type: Home health agency
Medicare CCN: 377167 View Profile

Home health agency Type: Home health agency
Medicare CCN: 377171 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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