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

Keisha Renarda Johnson-Roseboro

Individual provider Family Nurse Practitioner · NPI 1104562198

Keisha Renarda Johnson-Roseboro is a Family Nurse Practitioner in West Columbia, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2022

Practice location Address checks out

1053 Center St
West Columbia, SC 29169-6749
Phone: (800) 491-0909
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26079 (SC)

Record details

NPI number1104562198
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 11, 2022
Last updated in NPPESMay 11, 2022
Certification dateMay 11, 2022

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