Individual
MS. SHAKEYA NICHOLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 420, COLUMBIA, SC 29203-6833
(803) 434-6430
(803) 545-5353
Mailing address
300 E MCBEE AVE STE 300, GREENVILLE, SC 29601-2899
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28085
SC
Other
Enumeration date
10/28/2024
Last updated
12/06/2024
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