Individual
COURTNEY NICOLE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
146 E HOSPITAL DR STE 140, WEST COLUMBIA, SC 29169-4800
(803) 936-7076
(803) 936-7925
Mailing address
4205 BELFORT RD STE 4015, JACKSONVILLE, FL 32216-3623
(904) 450-6063
(904) 539-4091
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28198
SC
363L00000X
Nurse Practitioner
APRN11016833
FL
Other
Enumeration date
02/25/2020
Last updated
03/20/2025
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