Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Abundant Grace Wellness, LLC

Organization Adult Health Nurse Practitioner · NPI 1962092114

Abundant Grace Wellness, LLC is an Adult Health Nurse Practitioner in Charleston, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2045 Maybank Hwy
Charleston, SC 29412
Phone: (843) 801-0861
Fax: (843) 768-1473
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X
Community Health Nurse Practitioner Taxonomy 363LC1500X
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X

Record details

NPI number1962092114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gloria Wilson — Authorized Official/Provider · (843) 801-0861
NPI enumeratedJanuary 21, 2021
Last updated in NPPESSeptember 14, 2023
Certification dateJanuary 21, 2021
Mailing address2414 Racquet Club Drive, Johns Island, SC 29455-6300

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