Individual
TEDDY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
136 BLOCK ST, MARION, AR 72364-1956
(870) 559-2314
(870) 559-2392
Mailing address
2921 HWY 77 S, STE 12-13, MARION, AR 72364-2367
(870) 559-4252
(870) 559-4253
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
15094
TN
363LF0000X
Family Nurse Practitioner
Primary
A03572
AR
363LF0000X
Family Nurse Practitioner
A810366
MS
Other
Enumeration date
09/08/2010
Last updated
07/19/2016
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