Mr Jack Frank Johnson Iii, APRN - Clinical Nurse Specialist in Rock Hill, SC

Mr Jack Frank Johnson Iii, APRN is a Clinical Nurse Specialist - Pediatrics based in Rock Hill, South Carolina. Mr Jack Frank Johnson Iii is licensed to practice in South Carolina (license number 3360) and his current practice location is 724 Arden Ln, Suite 100, Rock Hill, South Carolina. He can be reached at his office (for appointments etc.) via phone at (803) 980-7337.

NPI number for Mr Jack Frank Johnson Iii is 1962638999 and his current mailing address is 724 Arden Ln, Suite 100, Rock Hill, South Carolina. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962638999.

Contact Information

Mr Jack Frank Johnson Iii, APRN
724 Arden Ln, Suite 100,
Rock Hill, SC 29732-2996
(803) 980-7337
(803) 980-2229



Provider's Profile

Full NameMr Jack Frank Johnson Iii
GenderMale
SpecialityClinical Nurse Specialist - Pediatrics
Location724 Arden Ln, Rock Hill, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1962638999
  • Provider Enumeration Date: 06/04/2009
  • Last Update Date: 06/04/2009

Medical Identifiers

Medical identifiers for Mr Jack Frank Johnson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962638999NPI-NPPES
3360OtherSCSOUTH CAROLINA STATE LICENSE
54-03360OtherSCSOUTH CAROLINA CONTROLLED SUBSTANCES CERTIFICATE OF REGISTRATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SP0200XClinical Nurse Specialist - Pediatrics 3360 (South Carolina)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. Mr Jack Frank Johnson Iii 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 AddressPractice 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

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› Verified 2 days ago


Clinical Nurse Specialist Nurses in Rock Hill, SC

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

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