NPI 1114812104

Jacques Roshana Johnson

Practitioner Student in an Organized Health Care Education/Training Program North Charleston, SC

Practice location

Address: 2134 Misroon St, North Charleston, SC 29405-7957
Phone: (803) 671-4237

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in South Carolina →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1114812104
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jun 2025
Record last updated: 10 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.