Individual
ERIN KENNEDY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
877 W FARIS RD STE B, GREENVILLE, SC 29605-4296
(864) 522-6225
(864) 522-6235
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19794
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP3515
—
SC
01
—
SC7106
MEDICARE
SC
Enumeration date
10/13/2015
Last updated
05/03/2023
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