Johnson, Susanne P

Johnson, Susanne P is an individual health care provider with primary practice located at 50 E Hospital St Ste 3 , Manning SC 29102-3149. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Susanne P can be contacted via phone (803) 435-8828.

Contact Information

Primary practice address
50 E Hospital St Ste 3 Manning SC 29102-3149
Fax: (803) 435-2239
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3937 South Carolina

Profile Details

NPI number 1205069770
LBN Legal business name Johnson, Susanne P
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2009
Last updated Mar 31st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1205069770 NPPES
South Carolina MEDICAID NP1641

Popular Providers