MRS. PHOEBE WILSON (NPI# 1417208810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417208810 |
Entity Type | Individual |
Full Name | MRS. PHOEBE WILSON |
Credential | PNP |
Practice Address |
776 Daniel Ellis Dr Suite 2 Building A Charleston SC 29412-3094 |
Mailing Address |
1952 Long Grove Dr Suite 202 Mt Pleasant SC 29464-7579 |
Practice Telephone | 8437958100 |
Practice Fax Number | 8435732534 |
Mailing Telephone | 8437958100 |
Mailing Fax Number | 8435732534 |
Enumeration Date | 2012-09-25 |
Last Update Date | 2014-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
18030 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
776 DANIEL ELLIS DR SUITE 2 BUILDING A |
City | CHARLESTON |
State | SC |
Zip Code | 29412-3094 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609840206 | Kara Compton | Physician Assistant | 776 Daniel Ellis Dr, Charleston, SC 29412-3094 | 2006-02-13 |
1932616976 | Katie Fralix Johnson | Pharmacist | 776 Daniel Ellis Dr, Charleston, SC 29412-3094 | 2017-12-29 |
1063729309 | Marianne W Rosen,m.d & Associatesllc | Dermatology | 776 Daniel Ellis Dr, Unit 1 A, Charleston, SC 29412-3094 | 2010-09-08 |
1104148352 | Kristen Lee Overcash | Physician Assistant | 776 Daniel Ellis Dr, Suite 3c, Charleston, SC 29412-3094 | 2010-02-15 |
1649414632 | Palmetto Primary Care Physicians | Family Medicine | 776 Daniel Ellis Dr, Ste. 1b, Charleston, SC 29412-3094 | 2009-04-22 |
1780823260 | Eye Care Specialties Group - James Island | Optometrist | 776 Daniel Ellis Dr, Unit 3b, Charleston, SC 29412-3094 | 2009-02-06 |
1326243924 | Palmetto Vision Care LLC | Optometrist | 776 Daniel Ellis Dr, Unit 3b, Charleston, SC 29412-3094 | 2007-06-15 |
1053445817 | Seacoast Pediatrics | Legal Medicine | 776 Daniel Ellis Dr, Suite 2 A, Charleston, SC 29412-3094 | 2007-03-15 |
1508908864 | Rina Elizabeth Limonta | Dentist | 776 Daniel Ellis Dr, Charleston, SC 29412 | 2007-02-13 |
1225101488 | Marianne W Rosen, M.d. | Dermatology | 776 Daniel Ellis Dr, Unit 1 A, Charleston, SC 29412-3094 | 2006-11-16 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780219055 | Terra Rae Mchugh | Speech-Language Pathologist | 418 Folly Rd. Phc Rehab, Suite B, Charleston, SC 29412 | 2020-03-07 |
1437795747 | Brigitte Britt Huttemeyer | Nurse Practitioner | 678 Castle Pinckney Dr, Charleston, SC 29412 | 2019-11-21 |
1760956619 | Madison Culler, D.m.d., P.a. | Dentist | 211 Simmons Street, Mount Pleasant, SC 29412 | 2019-01-14 |
1366932717 | Harborview Speech Therapy, LLC | Speech-Language Pathologist | 783 Stebbins Street, Charleston, SC 29412 | 2018-05-11 |
1780193003 | Grace K Cotton | Speech-Language Pathologist | 1265 Marshview Dr, Charleston, SC 29412 | 2017-09-29 |
1639628449 | Matthew Husband | Occupational Therapist | 930 Folly Road, Suite B, Charleston, SC 29412 | 2016-09-22 |
1679941843 | Renee Poser | Pharmacist | 907 Folly Rd Suite A, James Island, SC 29412 | 2015-09-04 |
1508205717 | Amanda Marie Ashcraft | Dental Hygienist | 113 Wappoo Creek Drive Suite 5, James Island Dental Associates Pa, Charleston, SC 29412 | 2013-06-20 |
1104147818 | Glendolyn Harrison | Social Worker | 125e Wappoo Creek Drive, Suite 101e, Charleston, SC 29412 | 2010-06-16 |
1487986055 | Rachel E. Brunette | Physical Therapist | 418 B Folly Rd., Charleston, SC 29412 | 2010-02-08 |
Find all providers in zip 29412 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912515511 | Naajah Hughes | Nurse Practitioner | 96 Jonathan Lucas Street Csb 428 Msc 608, Charleston, SC 29425-0001 | 2020-07-20 |
1528476793 | Kacie Owens | Nurse Practitioner | 830 Pennslyvania Avenue, Suite 103, Charleston, WV 25302-3389 | 2014-07-31 |
1124214895 | Elizabeth Zimmerman Thelan | Nurse Practitioner | 2051 Charlie Hall Blvd., Charleston, SC 29414 | 2007-09-17 |
1699305862 | Katherine Gannon Kiesel | Nurse Practitioner | 2067 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2020-01-16 |
1255979738 | Gabrielle Amarante | Nurse Practitioner | 2067 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2019-12-16 |
1396388393 | Jessica Kristen Gardner | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8900 | 2019-10-22 |
1114426814 | Erin Hill | Nurse Practitioner | 1871 Savage Rd, Charleston, SC 29407-4726 | 2018-02-08 |
1528566932 | Mckenzie Clark | Nurse Practitioner | 51 Nassau St, Charleston, SC 29403-5513 | 2018-01-31 |
1255842910 | Vanessa Lee Adams | Nurse Practitioner | 165 Ashley Ave, Charleston, SC 29425-8905 | 2017-10-20 |
1720524556 | Christine Lee Butler | Nurse Practitioner | 1941 Savage Rd Ste 100e, Charleston, SC 29407-4788 | 2017-01-18 |
Find all providers in CHARLESTON |
City | CHARLESTON |
Zip Code | 29412 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.