Healthcare Provider Details

I. General information

NPI: 1790408953
Provider Name (Legal Business Name): SARAH JOHNSON DNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2022
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 TWO NOTCH RD SE
AIKEN SC
29803-5551
US

IV. Provider business mailing address

SC HOUSE CALLS INC 111 DOCTORS CIRCLE
COLUMBIA SC
29203
US

V. Phone/Fax

Practice location:
  • Phone: 803-649-3909
  • Fax: 803-642-8495
Mailing address:
  • Phone: 800-491-0909
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN306484
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26471
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: