Individual
JENIFER PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4810 WRIGHTSVILLE AVE, THE PRESBYTERIAN COUNSELING CENTER, WILMINGTON, NC 28403-6917
(910) 452-7370
(910) 798-5199
Mailing address
6004 NETTLE CIR, WILMINGTON, NC 28405-3782
(910) 790-9103
(910) 798-5199
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
900221
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010064352
RAILROAD MEDICARE
NC
05
—
7000680
—
NC
Enumeration date
07/20/2006
Last updated
08/11/2010
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