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Individual
NANCY JANE PHILLIPS
Active
Individual
NANCY JANE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
125840
MO
364SA2100X
Acute Care Clinical Nurse Specialist
125840
MO
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
125840
MO
Other
Enumeration date
01/14/2009
Last updated
09/06/2019
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