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Mrs. Shonda Deana Johnson
Psychiatric/Mental Health Nurse Practitioner in Greenville, South Carolina
NPI 1295492130

Shonda Deana Johnson is a Psychiatric/Mental Health Nurse Practitioner based in Greenville, SC and is specialized in Psychiatric/Mental Health. Shonda Deana Johnson practices in Greenville, SC. The NPI Number for Shonda Deana Johnson is 1295492130 and holds a License No. 26263 (South Carolina).

The current practice location address for Shonda Deana Johnson is 200 Patewood Dr Fl 4, Greenville, SC and can be reached out via phone at 864-454-5612 and via fax at 864-454-5121.

Location: 200 Patewood Dr Fl 4, Greenville, SC, 29601-2842
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Provider Profile Details
NPI Number
1295492130
Provider Name
Shonda Deana Johnson
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 Patewood Dr Fl 4, Greenville, SC, 29601-2842
Phone Number
864-454-5612
Fax Number
864-454-5121
Provider Enumeration Date
11/28/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PENDING 05 SC
institution
Provider Business Practice Location Address Details
Address
200 Patewood Dr Fl 4
City
State
Zip
29615-3593
Phone Number
864-454-5612
Fax Number
864-454-5121
person
Provider Business Mailing Address Details
Address
200 Patewood Dr Fl 4
City
State
Zip
29615-3593
Phone Number
864-454-5612
Fax Number
864-454-5121
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
26263 (South Carolina)
Definition
Definition to come...
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