Individual
JANNIFER JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1407 KING ST, BEAUFORT, SC 29902-4937
(843) 525-7625
Mailing address
455 PINE ST E, VARNVILLE, SC 29944-9611
(803) 842-8737
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
78106
SC
Other
Enumeration date
11/23/2016
Last updated
11/23/2016
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