Individual provider · Type 1 NPI

Johnlyn Olin Nettles, FNP

Family Nurse Practitioner · Florence, SC

NPI number 1053875807 Active

Practice location

1925 Hoffmeyer Rd
Florence, SC 29501-4011

Mailing address

PO Box 603898
Charlotte, NC 28260-3898

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X22600 (SC)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1053875807

Johnlyn Olin Nettles, FNP's National Provider Identifier is 1053875807, issued on Jan 25, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Florence, SC. The record was last updated on Aug 2, 2019.