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Individual

SHANKANA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
211 S JONES RD, OLANTA, SC 29114-9705
(843) 396-9730
(843) 396-9735
Mailing address
8906 TWO NOTCH RD, COLUMBIA, SC 29223-6366
(803) 254-3676
(803) 254-3678

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
218052
SC
363LF0000X
Family Nurse Practitioner
Primary
25512
SC

Other

Enumeration date
02/22/2017
Last updated
01/28/2026
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