Individual
JESSICA HANCOCK WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
166 STONERIDGE DR, COLUMBIA, SC 29210-8239
(803) 461-3000
Mailing address
166 STONERIDGE DR, COLUMBIA, SC 29210-8239
(803) 461-3000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
20704
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6747
—
SC
Enumeration date
02/03/2017
Last updated
08/08/2023
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