Individual
STEPHANIE DEANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 100, COLUMBIA, SC 29203-6834
(803) 434-6095
(803) 758-0120
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
232093
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
27180
SC
Other
Enumeration date
08/15/2022
Last updated
01/13/2025
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