Individual
AJJIAREE NEKEYIA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1147 SOUTHERN BLVD NW, WARREN, OH 44485-2247
(330) 307-1116
Mailing address
1001 LAKESIDE AVE E STE 100, CLEVELAND, OH 44114-1172
(330) 307-1116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.316074
OH
363LF0000X
Family Nurse Practitioner
Primary
CNP.023786
OH
Other
Enumeration date
07/26/2007
Last updated
06/21/2022
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