Individual provider · Type 1 NPI

Amber Lyn Johnson, RD

Pediatric Nutrition Registered Dietitian · Charleston, SC

NPI number 1306201967 Active

Practice location

169 Ashley Ave
Charleston, SC 29425-8905

Mailing address

1431 Masthead Dr
Mount Pleasant, SC 29466-2405

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nutrition Registered Dietitian Primary 133VN1004X1352 (SC)

Pediatric Nutrition Registered Dietitian: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, educatio…

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About NPI 1306201967

Amber Lyn Johnson, RD's National Provider Identifier is 1306201967, issued on Dec 28, 2015. The primary taxonomy on file is Pediatric Nutrition Registered Dietitian (133VN1004X), and the practice location is in Charleston, SC. The record was last updated on Dec 28, 2015.