Individual provider · Type 1 NPI

Keisha Renarda Johnson-Roseboro

Family Nurse Practitioner · West Columbia, SC

NPI number 1104562198 Active

Practice location

1053 Center St
West Columbia, SC 29169-6749

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X26079 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1104562198

Keisha Renarda Johnson-Roseboro's National Provider Identifier is 1104562198, issued on May 11, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in West Columbia, SC. The record was last updated on May 11, 2022.