Individual
BRENICKE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
120 HIGHLAND CENTER DR STE 1, COLUMBIA, SC 29203-9127
(803) 928-5525
Mailing address
2214 OLD CHEROKEE RD, LEXINGTON, SC 29072-9725
(803) 520-5972
(803) 520-5972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26893
SC
Other
Enumeration date
02/08/2023
Last updated
02/09/2023
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