Individual
REBEKAH MARIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHMNP-BC
Contact information
Practice address
2018 WESTERN AVE, KNOXVILLE, TN 37921-5718
(865) 544-0406
(865) 544-0480
Mailing address
6350 W ANDREW JOHNSON HWY, DEPARTMENT 100, TALBOTT, TN 37877-8605
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN160242
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000017614
TN
Other
Enumeration date
06/11/2013
Last updated
02/09/2015
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