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JOHNLYN OLIN NETTLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1925 HOFFMEYER RD, FLORENCE, SC 29501-4011
(843) 679-4214
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22600
SC
390200000X
Student in an Organized Health Care Education/Training Program
SC

Other

Enumeration date
01/25/2019
Last updated
08/02/2019
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