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Abundant Grace Wellness, LLC

Adult Health Nurse Practitioner in Charleston, SC · enumerated 2021 · authorized official Gloria Wilson, Authorized Official/Provider.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1962092114

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Registry record

Entity type Organization (Type 2)
Legal business name Abundant Grace Wellness, LLC
Practice address 2045 Maybank Hwy, Charleston, SC, 29412
Phone (843) 801-0861
Fax (843) 768-1473
Enumeration date Jan 21, 2021
Last updated in NPPES Sep 14, 2023

Taxonomy & classification

363LA2200X Adult Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary
363LC1500X Community Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Gloria Wilson
Title Authorized Official/Provider
Phone (843) 801-0861

Other identifiers

Identifier Type State Issuer
18678 Other SC STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Abundant Grace Wellness, LLC?
The NPI for Abundant Grace Wellness, LLC is 1962092114, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Abundant Grace Wellness, LLC?
NPPES lists Gloria Wilson (Authorized Official/Provider) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-14.