Individual
MRS. JENNIFER LEE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OUTREACH COORDINATOR
Contact information
Practice address
135 N MUSKOGEE AVE, TAHLEQUAH, OK 74464-3621
(918) 324-2672
Mailing address
135 N MUSKOGEE AVE, TAHLEQUAH, OK 74464-3621
(918) 324-2672
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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