| Mr Jack Frank Johnson Iii, APRN | |
|
724 Arden Ln, Suite 100, Rock Hill, SC 29732-2996 | |
| (803) 980-7337 | |
| (803) 980-2229 |
| Full Name | Mr Jack Frank Johnson Iii |
|---|---|
| Gender | Male |
| Speciality | Clinical Nurse Specialist - Pediatrics |
| Location | 724 Arden Ln, Rock Hill, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962638999 | NPI | - | NPPES |
| 3360 | Other | SC | SOUTH CAROLINA STATE LICENSE |
| 54-03360 | Other | SC | SOUTH CAROLINA CONTROLLED SUBSTANCES CERTIFICATE OF REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SP0200X | Clinical Nurse Specialist - Pediatrics | 3360 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack Frank Johnson Iii, APRN 724 Arden Ln, Suite 100, Rock Hill, SC 29732-2996 Ph: (803) 980-7337 | Mr Jack Frank Johnson Iii, APRN 724 Arden Ln, Suite 100, Rock Hill, SC 29732-2996 Ph: (803) 980-7337 |
Laura Anita Dunn, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 452 Lakeshore Pkwy, Suite 105, Rock Hill, SC 29730 Phone: 803-329-1915 Fax: 803-329-1918 | |
Darlene K Christmon-washington, PMHCNS-BC Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 455 Lakeshore Pkwy, Rock Hill, SC 29730 Phone: 803-909-6363 Fax: 803-909-6364 | |
Ms. Susan Vigeant, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 2400 W Main St, Rock Hill, SC 29732 Phone: 803-327-6103 Fax: 803-328-5443 |