Individual
JASON LOUIS PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
2531 ROUTE 6 STE 3, HAWLEY, PA 18428-7031
(570) 855-8074
Mailing address
2531 ROUTE 6 STE 3, HAWLEY, PA 18428-7031
(570) 229-0774
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP022922
PA
Other
Enumeration date
03/31/2021
Last updated
06/30/2023
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