Individual
BONNIE J PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
2001 W 86TH ST, INDIANAPOLIS, IN 46260-1902
(317) 415-7921
Mailing address
4822 QUAIL CRESCENT CT, INDIANAPOLIS, IN 46254-9511
(317) 250-1263
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
29937
TN
363LN0000X
Neonatal Nurse Practitioner
Primary
71017171A
IN
Other
Enumeration date
07/23/2021
Last updated
12/22/2025
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