Individual
KARISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
(843) 792-8515
Mailing address
101 FAIR RIDGE RD, BLYTHEWOOD, SC 29016-7887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN278191R
SC
Other
Enumeration date
06/06/2026
Last updated
06/06/2026
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