Healthcare Provider Details

I. General information

NPI: 1679408520
Provider Name (Legal Business Name): JOJI JUSTIN THOMAS MSN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9109 SW 35TH ST
OKLAHOMA CITY OK
73179-4216
US

IV. Provider business mailing address

9109 SW 35TH ST
OKLAHOMA CITY OK
73179-4216
US

V. Phone/Fax

Practice location:
  • Phone: 405-824-5394
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number229059
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: