Individual
MRS. HOLLI KERVIN JOHNSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2 BELLA GROVE DR, GREENVILLE, SC 29607
(864) 603-5600
Mailing address
6490 MEMPHIS ARLINGTON RD STE 106, BARTLETT, TN 38135-7439
(901) 762-1531
(901) 762-1532
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
00000000000000
VA
363LF0000X
Family Nurse Practitioner
23571
TN
363LF0000X
Family Nurse Practitioner
Primary
28838
SC
Other
Enumeration date
08/30/2017
Last updated
10/28/2024
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