Individual
NICOLE JANE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CLC
Contact information
Practice address
1300 W MAIN AVE, DE PERE, WI 54115-9366
(920) 336-6594
Mailing address
2358 JOURDAIN LN, GREEN BAY, WI 54301-2138
(920) 360-1111
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
184153-30
WI
Other
Enumeration date
05/01/2023
Last updated
06/14/2023
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