Individual
MARY MAGDELENE PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1970 ROANOKE BLVD, SALEM, VA 24153
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153
(540) 982-2463
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
34091
TN
Other
Enumeration date
09/26/2022
Last updated
09/17/2025
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