Individual
MRS. THERESA C PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN APRN, BC
Contact information
Practice address
1616 INDUSTRIAL DR, COLE COUNTY HEALTH DEPARTMENT, JEFFERSON CITY, MO 65109-1471
(573) 636-2181
(573) 635-7534
Mailing address
411 RIVERVIEW DR, JEFFERSON CITY, MO 65101-4370
(573) 659-6692
(573) 635-7534
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
088676
MO
Other
Enumeration date
09/14/2006
Last updated
07/08/2007
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