Individual
MILLICENT Y PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
190 MCCARTY RD, JACKSON, MS 39212-9602
(601) 331-4721
Mailing address
190 MCCARTY RD, JACKSON, MS 39212-9602
(601) 331-4721
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
MS
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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