| Doctor Name: | MS. JANE PHELAN |
| NPI Number: | 1053563361 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | F401380 |
| Business Practice Address: | 166 Dotson St Rock Hill, SC - 297322334 |
| Business Phone Number: | 8033272012 |
| Business Fax Number: | |
| Mailing Address: | 166 Dotson St, ROCK HILL |
| State: | SC |
| Postal Code: | 297322334 |
| Phone Number: | 8033272012 |
| Fax Number: | |
| NPI Enumeration Date: | 10/17/2008 |
| NPI Last Update Date: | 05/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SP0809X |
| License Number: | F401380 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |