Jacques Roshana Johnson, is a
Student In An Organized Health Care Education/training Program based in North Charleston, South Carolina. Jacques Roshana Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
2134 Misroon St, North Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 671-4237.
NPI number for Jacques Roshana Johnson is 1114812104 and her current mailing address is 2134 Misroon St, North Charleston, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114812104.
Provider's Profile
| Full Name | Jacques Roshana Johnson |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 2134 Misroon St, North Charleston, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1114812104
- Provider Enumeration Date: 06/10/2025
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Jacques Roshana Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114812104 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacques Roshana Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacques Roshana Johnson,
2134 Misroon St,
North Charleston, SC 29405-7957
Ph: (803) 671-4237 | Jacques Roshana Johnson,
2134 Misroon St,
North Charleston, SC 29405-7957
Ph: (803) 671-4237 |
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