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1548760515
JACQUELINE JOHNSON
MT PLEASANT, SC
NPI
1548760515
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: SC 21596)
Enumeration Date
2018-02-16
Last Update Date
2018-02-16
Business Address
JACQUELINE JOHNSON FNP-C
725 LONG POINT RD
MT PLEASANT, SC 29464-8226
Phone number: 276-494-4449
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Mailing Address
JACQUELINE JOHNSON FNP-C
1309 WILD OLIVE DR
MT PLEASANT, SC 29464-7478
Phone number: 276-494-4449
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