JACQUES ROSHANA JOHNSON
NPI 1114812104
Student in an Organized Health Care Education/Training Program in North Charleston, SC

Active since June 10, 2025
2134 MISROON ST, NORTH CHARLESTON, SC 29405(803) 671-4237 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacques Roshana Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUES ROSHANA JOHNSON (NPI 1114812104) is an individual student in an organized health care education/training program in North Charleston, South Carolina and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1114812104
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJACQUES ROSHANA JOHNSON
Location Address2134 MISROON STNorth Charleston, SC 29405-7957
Mailing Address2134 Misroon StNorth Charleston, SC 29405-7957 · (803) 671-4237
Sole ProprietorNo
Enumeration DateJune 10, 2025
NPPES CertifiedJune 10, 2025
NPI 1114812104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedPhysician AssistantTaxonomy 363A00000X
2134 MISROON ST, North Charleston, SC 29405

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacques Johnson's NPI number?

The NPI number for Jacques Johnson is 1114812104. It was assigned to this individual provider in the NPPES registry on June 10, 2025.

Where is Jacques Johnson located?

Jacques Johnson practices at 2134 Misroon St, North Charleston, SC 29405. The listed phone number is (803) 671-4237.

What is Jacques Johnson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jacques Johnson was last updated on June 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.