Provider Demographics
NPI:1285800235
Name:WHEELER, JANA (DNP, PPCNP-BC)
Entity type:Individual
Prefix:DR
First Name:JANA
Middle Name:
Last Name:WHEELER
Suffix:
Gender:F
Credentials:DNP, PPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 RIBAUT RD STE 20A
Mailing Address - Street 2:
Mailing Address - City:BEAUFORT
Mailing Address - State:SC
Mailing Address - Zip Code:29902-3401
Mailing Address - Country:US
Mailing Address - Phone:843-379-9993
Mailing Address - Fax:
Practice Address - Street 1:4 OKATIE CTR BLVD
Practice Address - Street 2:BLDG 6. SUITE 201
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909-7529
Practice Address - Country:US
Practice Address - Phone:843-706-3206
Practice Address - Fax:843-706-3226
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCAPN18102363LP0200X
TNAPN0000007913363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics