MRS. PHOEBE WILSON


Address: 776 Daniel Ellis Dr, Suite 2 Building A, Charleston, SC 29412-3094
Phone: 8437958100

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
18030 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 776 DANIEL ELLIS DR
SUITE 2 BUILDING A
City CHARLESTON
State SC
Zip Code 29412-3094

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City CHARLESTON
Zip Code 29412

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Dataset Information

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.

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