CANDRA JOHNSON RN NPI 1649697897

NPI Information

  • NPI: 1649697897
  • Provider Name: CANDRA JOHNSON, RN
  • Classification: Registered Nurse - 163WC1500X
  • Specialization: Community Health
  • Entity Type: Individual
  • Address: 1931 INDUSTRIAL PARK RD
    CONWAY, SC
    ZIP 29526
  • Phone: (843) 915-8765

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NPI Details

Candra Johnson, RN is a community health registered nurse in Conway, SC. Candra Johnson, RN NPI is 1649697897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1931 INDUSTRIAL PARK RD
CONWAY, SC
ZIP 29526-482
Phone: (843) 915-8765
Fax: (843) 915-6504

The enumeration date for this NPI number is 3/26/2014 and was last updated on 3/26/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC1500XRegistered NurseCommunity Health29130SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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