Individual
MRS. CARLA PHILLIPS-COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
297 HIGHWAY 51 STE B, RIDGELAND, MS 39157-3423
(601) 707-5381
(601) 707-5382
Mailing address
297 HIGHWAY 51 STE B, RIDGELAND, MS 39157-3423
(601) 707-5381
(601) 707-5382
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
901437
MS
363LP2300X
Primary Care Nurse Practitioner
901437
MS
Other
Enumeration date
01/24/2016
Last updated
03/15/2016
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