Individual
MRS. JEANNA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4117 BROWNS LN, LOUISVILLE, KY 40220-1535
(502) 452-6337
Mailing address
3938 GILMAN AVE, LOUISVILLE, KY 40207-2734
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3011755
KY
363LP0222X
Critical Care Pediatric Nurse Practitioner
3011755
KY
Other
Enumeration date
10/16/2017
Last updated
11/14/2025
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