NPI 1962638999

Jack Frank Johnson, APRN

Practitioner Pediatric Clinical Nurse Specialist Rock Hill, SC

Practice location

Address: 724 Arden Ln Suite 100, Rock Hill, SC 29732-2996
Phone: (803) 980-7337
Fax: (803) 980-2229

Registered specialties

Pediatric Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SP0200X Licence 3360 (SC)

Other Clinical Nurse Specialist providers in South Carolina →

Registry record

NPI: 1962638999
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Jun 2009
Record last updated: 4 Jun 2009

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.