Provider Demographics
NPI:1952746992
Name:WHEELER, JOAN CLAIRE
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:CLAIRE
Last Name:WHEELER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:
Other - Last Name:WHEELER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1999 SINGLEY ST
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-5014
Mailing Address - Country:US
Mailing Address - Phone:843-745-2006
Mailing Address - Fax:843-745-7191
Practice Address - Street 1:1999 SINGLEY ST
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29405-5014
Practice Address - Country:US
Practice Address - Phone:843-745-2006
Practice Address - Fax:843-745-7191
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-03
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC218713163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool