Individual
NANCY LAUREN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
101 MCLEOD HEALTH BLVD, MYRTLE BEACH, SC 29579-4477
(843) 646-8001
(843) 646-8002
Mailing address
101 MCLEOD HEALTH BLVD STE 201, MYRTLE BEACH, SC 29579-4477
(843) 646-8001
(843) 646-8002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
23349
SC
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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