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Mr. Jack Frank Johnson III, APRN

Pediatric Clinical Nurse Specialist in Rock Hill, SC · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962638999

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Registry record

Entity type Individual (Type 1)
Name Mr. Jack Frank Johnson III
Credential APRN
Sex Male
Practice address 724 Arden Ln, Suite 100, Rock Hill, SC, 29732
Fax (803) 980-2229
Enumeration date Jun 4, 2009
Last updated in NPPES Jun 4, 2009

Taxonomy & licenses

364SP0200X Pediatric Clinical Nurse Specialist Physician Assistants & Advanced Practice Nursing Providers · License 3360 (SC) Primary
APRN · Advanced Practice Registered Nurse: An umbrella credential covering NPs, CRNAs, CNMs, and clinical nurse specialists. About the APRN credential

Other identifiers

Identifier Type State Issuer
3360 Other SC SOUTH CAROLINA STATE LICENSE
54-03360 Other SC SOUTH CAROLINA CONTROLLED SUBSTANCES CERTIFICATE OF REGISTRATION

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Jack Johnson practice?
The practice location on file with NPPES is in Rock Hill, SC. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Jack Johnson?
The National Provider Identifier (NPI) for Jack Johnson is 1962638999, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-06-04.