Wiles, Jacqueline Gabrielle

Wiles, Jacqueline Gabrielle is an individual health care provider with primary practice located at 200 Booker Dr , Walhalla SC 29691-2278. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wiles, Jacqueline Gabrielle can be contacted via phone (864) 656-3076.

Contact Information

Primary practice address
200 Booker Dr Walhalla SC 29691-2278
Phone: (864) 656-3076
Fax: (843) 985-9562
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 23172 South Carolina

Profile Details

NPI number 1588211197
LBN Legal business name Wiles, Jacqueline Gabrielle
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2019
Last updated Dec 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588211197 NPPES
South Carolina MEDICAID NP6253

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