IndividualActive
Bonita Johnson, FNP
NPI 1508202359 · Family Nurse Practitioner · Lake City, SC
Provider details
- NPI number
- 1508202359
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- License
- 18176 (SC)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
241 Kelley St
Lake City, SC 29560-2446
Phone: (843) 394-1051
Fax: (843) 394-0277
Approximate (ZIP-level) locationGet directions
Mailing address
360 N Irby St
Florence, SC 29501-2808
Registry dates
- Enumerated
- 2013-05-21
- Last updated
- 2016-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.