Individual
KIMBERLY NICHOLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
303 HARRIS INDUSTRIAL BLVD STE 3, VIDALIA, GA 30474-8854
(912) 537-9355
(912) 335-4804
Mailing address
998 JOHNSON CORNER RD, LYONS, GA 30436-4810
(912) 253-0211
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN236247
GA
363LF0000X
Family Nurse Practitioner
Primary
RN236247
GA
Other
Enumeration date
08/17/2024
Last updated
08/17/2024
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