Individual
MRS. JACI 'K' JEAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
507 NORTH LINCOLN AVENUE, BROADUS, MT 59317-0489
(406) 436-2651
Mailing address
507 NORTH LINCOLN AVENUE, P.O. BOX 489, BROADUS, MT 59317-0489
(406) 436-2651
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
24922
MT
Other
Enumeration date
09/11/2010
Last updated
03/05/2015
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