Healthcare Provider Details

I. General information

NPI: 1285800235
Provider Name (Legal Business Name): JANA WHEELER DNP, PPCNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2008
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 FORDING ISLAND RD STE C1
HILTON HEAD ISLAND SC
29926-1176
US

IV. Provider business mailing address

1555 FORDING ISLAND RD STE C1
HILTON HEAD ISLAND SC
29926-1176
US

V. Phone/Fax

Practice location:
  • Phone: 843-815-6789
  • Fax: 843-815-6788
Mailing address:
  • Phone: 843-815-6789
  • Fax: 843-815-6788

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number18102
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN0000007913
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberAPN18102
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: