Individual
DR. RYAN NICOLE LAW JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 847-3225
(843) 897-7951
Mailing address
89 OLD TROLLEY RD STE 207B, SUMMERVILLE, SC 29485-4953
(843) 509-4257
(843) 897-7951
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17944
SC
363LF0000X
Family Nurse Practitioner
17944
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
17944
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2143
—
SC
01
—
P01264537
RAIL ROAD MEDICARE
SC
Enumeration date
09/24/2012
Last updated
04/27/2025
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