Individual
MR. ROWDY JAMES PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
601 MAIN ST, DUNEDIN, FL 34698-5848
(727) 733-1111
Mailing address
601 MAIN ST, DUNEDIN, FL 34698-5848
(727) 733-1111
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
5485
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2019000700
MO
Other
Enumeration date
01/08/2019
Last updated
09/15/2022
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