Provider Demographics
NPI:1366956393
Name:JOHNSON, CLAUDIA MILENA (ARNP, FNP- BC)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:MILENA
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:ARNP, FNP- BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 CHINOOK DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5169
Mailing Address - Country:US
Mailing Address - Phone:786-383-7721
Mailing Address - Fax:786-383-7721
Practice Address - Street 1:2 BELLA GROVE DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3459
Practice Address - Country:US
Practice Address - Phone:864-603-5600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-29
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9311552207Q00000X
SC26294363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine