Individual
KATELYN HANNA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
355 S GEORGETOWN HWY, JOHNSONVILLE, SC 29555-8083
(843) 380-2000
(843) 380-2014
Mailing address
506 E CHEVES ST STE 202, FLORENCE, SC 29506-2616
(843) 380-2000
(843) 380-2014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22639
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22639
SC DEPART OF LABOR, LICENSING AND REGULATION LICENSE #
SC
05
—
NP6654
—
SC
Enumeration date
02/18/2019
Last updated
04/25/2024
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