Healthcare Provider Details

I. General information

NPI: 1346784386
Provider Name (Legal Business Name): JUNIPER WOMEN'S HEALTH & WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2016
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 BYPASS 72 NW
GREENWOOD SC
29649-1203
US

IV. Provider business mailing address

1225 MONTAGUE AVENUE EXT
GREENWOOD SC
29649-9027
US

V. Phone/Fax

Practice location:
  • Phone: 864-519-0054
  • Fax: 864-447-5707
Mailing address:
  • Phone: 864-519-0054
  • Fax: 864-447-5707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JANET B GOFF
Title or Position: CNM, APRN
Credential: CNM, APRN
Phone: 864-344-2783