Individual
JESSICA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1303
(205) 780-3100
Mailing address
60 MOUNTAIN OAKS LN, WARRIOR, AL 35180-4700
(256) 338-9972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-13571
AL
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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