Individual provider · Type 1 NPI

Vistina Metts Johnson

Acute Care Nurse Practitioner · Columbia, SC

NPI number 1407484041 Active

Practice location

3 Richland Medical Park Dr Ste 510
Columbia, SC 29203-6854

Fax (803) 296-3319

Mailing address

PO Box 743904
Atlanta, GA 30374-3904

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X23734 (SC)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1407484041

Vistina Metts Johnson's National Provider Identifier is 1407484041, issued on Mar 30, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Columbia, SC. The record was last updated on Feb 17, 2026.