person
Mr. Jack Frank Johnson III, APRN
Pediatric Clinical Nurse Specialist in Rock Hill, South Carolina
NPI 1962638999

Jack Frank Johnson III is a Pediatric Clinical Nurse Specialist based in Rock Hill, SC and is specialized in Pediatrics. Jack Frank Johnson III practices in Rock Hill, SC and has the professional credentials of APRN. The NPI Number for Jack Frank Johnson III is 1962638999 and holds a License No. 3360 (South Carolina).

The current practice location address for Jack Frank Johnson III is 724 Arden Ln, Rock Hill, SC and can be reached out via phone at 803-980-7337 and via fax at 803-980-2229. You can also correspond with Jack Frank Johnson III through the mailing address at 724 ARDEN LN, ROCK HILL, SC - 29732-2996 (mailing address contact number: 803-980-7337).

Location: 724 Arden Ln, Rock Hill, SC, 29732-2996
person
Provider Profile Details
NPI Number
1962638999
Provider Name
Jack Frank Johnson III
Credential
APRN
Provider Entity Type
Individual
Gender
Male
Address
724 Arden Ln, Rock Hill, SC, 29732-2996
Phone Number
803-980-7337
Fax Number
803-980-2229
Provider Enumeration Date
06/04/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3360 01 SC SOUTH CAROLINA STATE LICENSE
54-03360 01 SC SOUTH CAROLINA CONTROLLED SUBSTANCES CERTIFICATE OF REGISTRATION
institution
Provider Business Practice Location Address Details
Address
724 Arden Ln
City
State
Zip
29732-2996
Phone Number
803-980-7337
Fax Number
803-980-2229
person
Provider Business Mailing Address Details
Address
724 Arden Ln
City
State
Zip
29732-2996
Phone Number
803-980-7337
Fax Number
803-980-2229
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Pediatrics
Taxonomy
License No.
3360 (South Carolina)
Definition
Definition to come...
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