| Shankana Johnson, FNP | |
|
1268 S 4th St, Hartsville, SC 29550-0703 | |
| (843) 332-3422 | |
| Not Available |
| Full Name | Shankana Johnson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1268 S 4th St, Hartsville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326587387 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WC1500X | Registered Nurse - Community Health | 218052 (South Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 25512 (South Carolina) | Primary |
| Entity Name | Caresouth Carolina Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720082571 PECOS PAC ID: 1052221314 Enrollment ID: O20040511000280 |
| Entity Name | Sc House Calls Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518048859 PECOS PAC ID: 6800994807 Enrollment ID: O20070613000821 |
| Entity Name | Lowcountry Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326364100 PECOS PAC ID: 9739210337 Enrollment ID: O20100625000517 |
| Mailing Address | Practice Location Address |
|---|---|
| Shankana Johnson, FNP 1268 S 4th St, Hartsville, SC 29550-0703 Ph: (843) 332-3422 | Shankana Johnson, FNP 1268 S 4th St, Hartsville, SC 29550-0703 Ph: (843) 332-3422 |
Mrs. Zita Acuna Andreski, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-332-3985 | |
Ms. Gyetri Mitchell, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-4600 | |
Mr. Robert Alexander Campbell Jr., FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Medical Park Dr Ste 207, Hartsville, SC 29550 Phone: 843-383-5191 Fax: 843-332-9229 | |
Katelon Marie Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-339-5518 | |
Staci Leigh Cassidy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-332-3985 | |
Aquilla Bec, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-0118 | |
Ms. Almeda Myers Graham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-332-3985 |