Organization
JENIFER PHELPS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENIFER PHELPS PMHNP-BC (NURSE PRACTITIONER / OWNER)
(910) 790-9103
Entity
Organization
Contact information
Practice address
2202 WRIGHTSVILLE AVE, SUITE 211, WILMINGTON, NC 28403-3051
(910) 833-8370
(910) 833-8371
Mailing address
6004 NETTLE CIR, WILMINGTON, NC 28405-3782
(910) 790-9103
(910) 833-8371
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
900221
NC
Other
Enumeration date
02/27/2015
Last updated
02/27/2015
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