Individual provider · Type 1 NPI

Shannon Marie Johnson, NP-C

Family Nurse Practitioner · Pendleton, SC

NPI number 1801080619 Active

Practice location

7900 Highway 76
Pendleton, SC 29670-8876

Mailing address

130 Highway 252
Anderson, SC 29621-5054

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X3331 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1801080619

Shannon Marie Johnson, NP-C's National Provider Identifier is 1801080619, issued on Sep 5, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pendleton, SC. The record was last updated on Mar 6, 2020.