Individual
MRS. KRYSTAL INMAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
15 CLEVELAND AVE STE 14, MARTINSVILLE, VA 24112-2937
(276) 632-9714
Mailing address
15 CLEVELAND AVE STE 14, MARTINSVILLE, VA 24112-2937
(276) 632-9714
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024179235
VA
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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