Individual
VISTINA METTS JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 RICHLAND MEDICAL PARK DR STE 510, COLUMBIA, SC 29203-6854
(803) 296-2726
(803) 296-3319
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
23734
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
23734
SC
Other
Enumeration date
03/30/2020
Last updated
02/17/2026
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