Individual
JUDY DYER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
391 SERPENTINE DR STE 400, SPARTANBURG, SC 29303-3081
(864) 560-7517
(864) 560-7520
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
28543
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
301100
—
SC
05
—
NN0227
—
SC
01
—
SCT0517652
MEDICARE PIN
SC
Enumeration date
12/18/2017
Last updated
08/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us