Individual
AMANDA JEANNE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
800 ROSE STREET, ROOM M53, LEXINGTON, KY 40536-0298
(859) 323-5908
(859) 323-8056
Mailing address
800 ROSE ST RM M53, LEXINGTON, KY 40536-0298
(859) 323-5908
(859) 323-8056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3014930
KY
363LF0000X
Family Nurse Practitioner
Primary
3014930
KY
Other
Enumeration date
07/21/2020
Last updated
02/18/2022
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