Individual provider · Type 1 NPI

Jacques Roshana Johnson

Student in an Organized Health Care Education/Training Program · North Charleston, SC

NPI number 1114812104 Active

Practice location

2134 Misroon St
North Charleston, SC 29405-7957

Call (803) 671-4237 Map

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114812104

Jacques Roshana Johnson's National Provider Identifier is 1114812104, issued on Jun 10, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Charleston, SC. The record was last updated on Jun 10, 2025.