person
Keisha Renarda Johnson-roseboro
Family Nurse Practitioner in West Columbia, South Carolina
NPI 1104562198

Keisha Renarda Johnson-roseboro is a Family Nurse Practitioner based in West Columbia, SC and is specialized in Family. Keisha Renarda Johnson-roseboro practices in West Columbia, SC. The NPI Number for Keisha Renarda Johnson-roseboro is 1104562198 and holds a License No. 26079 (South Carolina).

The current practice location address for Keisha Renarda Johnson-roseboro is 1053 Center St, West Columbia, SC and can be reached out via phone at 800-491-0909.

Location: 1053 Center St, West Columbia, SC, 29169-6749
person
Provider Profile Details
NPI Number
1104562198
Provider Name
Keisha Renarda Johnson-roseboro
Credential
Provider Entity Type
Individual
Gender
Female
Address
1053 Center St, West Columbia, SC, 29169-6749
Phone Number
800-491-0909
Fax Number
Provider Enumeration Date
05/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1053 Center St
City
State
Zip
29169-6749
Phone Number
800-491-0909
Fax Number
person
Provider Business Mailing Address Details
Address
1053 Center St
City
State
Zip
29169-6749
Phone Number
800-491-0909
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
26079 (South Carolina)
Definition
Definition to come...
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