Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Johnlyn Olin Nettles, FNP

Individual provider Family Nurse Practitioner · NPI 1053875807

Johnlyn Olin Nettles, FNP is a Nurse Practitioner in Florence, South Carolina. Qualified in 2018, 8 years ago. Practices with Medical University Hospital Authority, a 220-clinician group and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
8
Licensed in
SC
In the registry since
2019
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1925 Hoffmeyer Rd
Florence, SC 29501-4011
Phone: (843) 679-4214
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 22600 (SC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (SC)

Record details

NPI number1053875807
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 25, 2019
Last updated in NPPESAugust 2, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Medical University Hospital Authority — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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