Individual
TIFFANY ROCHELLE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CASE MANAGER
Contact information
Practice address
110 NNPTC CIR, GOOSE CREEK, SC 29445-6314
(843) 794-6371
(843) 794-6885
Mailing address
3003 CRUSADES ST, LADSON, SC 29456-3074
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1141881
KY
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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