Individual
JENNIFER A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C-NP
Contact information
Practice address
9050 N CHURCH DR, PARMA HEIGHTS, OH 44130-4701
(440) 292-0226
(440) 292-0225
Mailing address
20455 LORAIN RD, STE T-01, FAIRVIEW PARK, OH 44126-3494
(440) 799-4224
(440) 799-4228
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.17624-NP
OH
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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