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JESSICA LEMOINE PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
630 S FLEISHEL AVE, TYLER, TX 75701-2041
(903) 606-5560
Mailing address
1985 HIGHLAND PARK CT, TYLER, TX 75701-4758
(903) 530-5455

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP145382
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1I1449
MEDICARE
TX
01
AP145382
TEXAS BOARD OF NURSING
TX
Enumeration date
09/30/2020
Last updated
04/10/2026
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