Individual
AIYANNA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
5110 FAIRFIELD RD, COLUMBIA, SC 29203-4323
(803) 893-7019
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(312) 733-9730
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26414
SC
363LF0000X
Family Nurse Practitioner
Primary
26414
SC
Other
Enumeration date
08/19/2022
Last updated
11/14/2023
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