Individual
ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
6316 PRECINCT LINE RD, HURST, TX 76054-2766
(817) 605-2525
(817) 605-2505
Mailing address
PO BOX 99213, FORT WORTH, TX 76199-0213
(682) 885-4446
(817) 810-1396
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
550182
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP112018
TX
Other
Enumeration date
07/17/2006
Last updated
01/07/2020
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