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NPI Code Detail

MEDICARE: GINGER ANN JOHNSON NP

MEDICARE: GINGER ANN JOHNSON NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner27596SC

General Provider Information

NPI Number : 1447938378
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINGER ANN JOHNSON NP
Provider Business Mailing Address
First Line : 255 ENTERPRISE BLVD STE 101
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-3530
Country : US
Telephone Number : 864-455-8120
Fax Number :
Provider Business Practice Location Address
First Line : 255 ENTERPRISE BLVD STE 101
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-3530
Country : US
Telephone Number : 864-455-8120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2023
Last Update Date : 03/18/2026

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Directions to “ GINGER ANN JOHNSON NP” Practice Location

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