Johnston, Virginia

Johnston, Virginia is an individual health care provider with primary practice located at 4040 Highway 17 Suite 104, Murrells Inlet SC 29576-5098. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnston, Virginia can be contacted via phone (843) 652-8150.

Contact Information

Primary practice address
4040 Highway 17 Suite 104 Murrells Inlet SC 29576-5098
Phone: (843) 652-8150
Fax: (843) 652-8151
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2320 South Carolina

Profile Details

NPI number 1447310438
LBN Legal business name Johnston, Virginia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Dec 19th, 2016 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447310438 NPPES
South Carolina Other 2320 MEDICAL LICENSE

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