Provider Demographics
NPI:1578045233
Name:JOHNSON, FLORANCE ANN
Entity Type:Individual
Prefix:MS
First Name:FLORANCE
Middle Name:ANN
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7410 S VICTOR AVE APT 1511
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-7445
Mailing Address - Country:US
Mailing Address - Phone:918-270-0953
Mailing Address - Fax:
Practice Address - Street 1:7410 S VICTOR AVE APT 1511
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7445
Practice Address - Country:US
Practice Address - Phone:918-270-0953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator