Johnson, Kristy

Johnson, Kristy is an individual health care provider with primary practice located at 107 Omni Dr Ste A , Seneca SC 29672-9448. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Johnson, Kristy can be contacted via phone (864) 482-3285.

Contact Information

Primary practice address
107 Omni Dr Ste A Seneca SC 29672-9448
Phone: (864) 482-3285
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 20678 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 20678 South Carolina

Profile Details

NPI number 1588101448
LBN Legal business name Johnson, Kristy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2017
Last updated May 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588101448 NPPES
South Carolina MEDICAID NP4324

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