Individual
MRS. REBEKAH MICHELLLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1594 FREEDOM BLVD STE 102, FLORENCE, SC 29505-6046
(843) 679-4221
Mailing address
PO BOX 603898, CHARLOTTE, NC 28260-3898
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12795
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21795
SC STATE BOARD OF NURSING
SC
Enumeration date
04/05/2018
Last updated
10/20/2020
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