IndividualActive
Johnny Smith, RN
NPI 1114222809 · Diabetes Educator Registered Nurse · Miami, OK
Provider details
- NPI number
- 1114222809
- Entity type
- Individual
- Primary specialty
- Diabetes Educator Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- License
- R0074090 (OK)
Specialties & taxonomies
Nursing Service Providers
Practice location
2301 S Eight Tribes Trl
Miami, OK 74354-1009
Phone: (918) 542-1655
Approximate (ZIP-level) locationGet directions
Mailing address
2301 S Eight Tribes Trl
Miami, OK 74354-1009
Registry dates
- Enumerated
- 2011-01-11
- Last updated
- 2011-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.