Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Elizabeth Johnson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063255115

Nicole Elizabeth Johnson, DO is a Student in an Organized Health Care Education/Training Program in Tulsa, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1111 W 17th St
Tulsa, OK 74107-1886
Phone: (918) 582-1972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063255115
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 17, 2024
Last updated in NPPESJune 17, 2024
Certification dateJune 17, 2024
Mailing address2131 W 46th Pl, Tulsa, OK 74107-7728

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