Individual
MS. JOANN LYNN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 330, COLUMBIA, SC 29203-6862
(803) 434-7100
(803) 434-6889
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2013041171
MO
363LA2200X
Adult Health Nurse Practitioner
Primary
24523
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP7354
—
SC
Enumeration date
11/25/2013
Last updated
03/02/2021
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