Mrs Ashley Nicole Johnston, APRN | |
718 Avenue A, Beaver, OK 73932-3101 | |
(580) 625-3477 | |
(580) 625-3562 |
Full Name | Mrs Ashley Nicole Johnston |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 718 Avenue A, Beaver, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912635558 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R0081314 (Oklahoma) | Secondary |
363LF0000X | Nurse Practitioner - Family | 209854 (Oklahoma) | Primary |
Entity Name | Williams Medical Group Practice Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346608809 PECOS PAC ID: 3375832157 Enrollment ID: O20181228001300 |
Mailing Address | Practice Location Address |
---|---|
Mrs Ashley Nicole Johnston, APRN Po Box 675, Beaver, OK 73932-0675 Ph: (580) 528-1096 | Mrs Ashley Nicole Johnston, APRN 718 Avenue A, Beaver, OK 73932-3101 Ph: (580) 625-3477 |
Mrs. Camber Dean Cline, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 322 Douglas Ave, Beaver, OK 73932 Phone: 580-625-0042 Fax: 405-281-4917 | |
Mrs. Susan Danielle Trippet, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 718 Avenue A, Beaver, OK 73932 Phone: 580-625-3477 Fax: 580-625-3562 | |
Lynnetta Faye Stout, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 718 Avenue A, Beaver, OK 73932 Phone: 580-625-3477 Fax: 580-625-3562 | |
Mrs. Allison Bennett, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 623 Avenue C, Beaver, OK 73932 Phone: 580-625-2273 Fax: 580-625-2274 |