Johnson, Shauna R

Johnson, Shauna R is an individual health care provider with primary practice located at 10 Patewood Dr Ste 130 , Greenville SC 29615-6317. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Johnson, Shauna R can be contacted via phone (864) 455-8988.

Contact Information

Primary practice address
10 Patewood Dr Ste 130 Greenville SC 29615-6317
Phone: (864) 455-8988
Fax: (864) 455-4540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARNP9455780 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9455780 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 18232 South Carolina

Profile Details

NPI number 1902038821
LBN Legal business name Johnson, Shauna R
Credentials FNP-BC, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2009
Last updated Feb 5th, 2024 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902038821 NPPES
South Carolina MEDICAID 1760596480

Popular Providers