MRS. JACQUELINE BALLEW JOHNSON (NPI# 1932416328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932416328 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE BALLEW JOHNSON |
| Credential | ARNP |
| Practice Address |
619 Nw 23rd St Oklahoma City OK 73103-1415 |
| Mailing Address |
908 Nw 18th St Oklahoma City OK 73106-6415 |
| Practice Telephone | 4055280221 |
| Practice Fax Number | 4055281517 |
| Mailing Telephone | 4055259080 |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ROO68670 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679114508 | Jacqueline Johnson | Peer Specialist | 773 Gilbert St, Columbus, OH 43206-1516 | 2019-10-02 |
| 1609433804 | Jacqueline Collette Johnson | Massage Therapist | 612 Madeira Dr Se, Albuquerque, NM 87108-3614 | 2019-05-22 |
| 1174189559 | Jacqueline Johnson | Counselor | 1550 Latimer St, Philadelphia, PA 19102-4417 | 2019-05-11 |
| 1942771738 | Jacqueline M Johnson | Counselor | 1304 E Cardeza St, Phila, PA 19119-1545 | 2018-12-06 |
| 1619497468 | Jacqueline Johnson | Specialist/Technologist | 2812 Mulberry St, Saint Joseph, MO 64501-2649 | 2017-06-22 |
| 1063957009 | Jacqueline Johnson | Nurse Practitioner | 420 S. Glendora Ave, West Covina, CA 91790 | 2016-12-29 |
| 1003359951 | Jacqueline Johnson | Registered Nurse | 822 Red Tip Dr, Allen, TX 75002-5023 | 2016-11-27 |
| 1760840896 | Jacqueline Johnson | Massage Therapist | 485 Alexander Loop Ste 110, Eugene, OR 97401-6753 | 2016-02-03 |
| 1437550571 | Jacqueline Johnson | Psychologist | 2592 Western Ave Ste 200, Altamont, NY 12009-9401 | 2014-09-09 |
| 1568719771 | Jacqueline Marjorie Johnson | Psychologist | 170 Forestview Dr, Williamsville, NY 14221-1416 | 2012-08-07 |
| Street Address |
619 NW 23RD ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103-1415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265592885 | Matilda Katherine Williams | Physician Assistant | 619 Nw 23rd St, Oklahoma City, OK 73103-1415 | 2006-12-12 |
| 1780207662 | Katie Harrison | Advanced Practice Midwife | 619 Nw 23rd St, Oklahoma City, OK 73103-1415 | 2020-05-26 |
| 1376039057 | Jacy Kathleen Godsey | Nurse Practitioner | 619 Nw 23rd St, Oklahoma City, OK 73103-1415 | 2018-07-06 |
| 1639427164 | Kelsey Ann Rapp | Physician Assistant | 619 Nw 23rd St, Oklahoma City, OK 73103-1415 | 2012-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| Find all providers in zip 73103 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418991 | Brooke Elizabeth Young | Nurse Practitioner | 825 Ne 10th St Ste 2g, Oklahoma City, OK 73104-5417 | 2020-05-11 |
| 1790315729 | Robin Annette Dockins | Nurse Practitioner | 11404 Bluff Creek Dr, Oklahoma City, OK 73162-3725 | 2020-01-17 |
| 1194283424 | Nancy Ann Owens | Nurse Practitioner | 5101 Sw 120th Ct, Oklahoma City, OK 73173-8875 | 2019-03-05 |
| 1487125282 | Michael Scott Eskew | Nurse Practitioner | 14100 Parkway Commons Dr Ste 100, Oklahoma City, OK 73134-6036 | 2018-12-06 |
| 1477922441 | Nissy Philip | Nurse Practitioner | 3366 Nw Expwy, Suit 550, Oklahoma City, OK 73112-4462 | 2015-09-21 |
| 1750766911 | Asha Joseph | Nurse Practitioner | 711 Sl Young Blvd Ste 430, Oklahoma City, OK 73104-5022 | 2015-07-29 |
| 1467899724 | Sukcha Maudie | Nurse Practitioner | 215 Nw 16th St, Oklahoma City, OK 73103-3408 | 2013-05-28 |
| 1700989316 | Misty Dawn Dean | Nurse Practitioner | 3366 Nw Expressway Ste 400, Oklahoma City, OK 73112-4416 | 2006-09-07 |
| 1083630115 | Terry L Green | Nurse Practitioner | 940 N.e. 13th Street, Suite 3000, Oklahoma City, OK 73104-5099 | 2006-07-14 |
| 1639166499 | Shannon L Johnson | Nurse Practitioner | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2005-10-05 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
Please comment or provide details below to improve the information on MRS. JACQUELINE BALLEW 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.