Individual
VENESSA AMANDA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, FNP-C
Contact information
Practice address
2195 REDSTONE DR, YORK, SC 29745-2955
(803) 371-9628
Mailing address
2195 REDSTONE DR, YORK, SC 29745-2955
(803) 371-9628
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
30625A
SC
363LP2300X
Primary Care Nurse Practitioner
30625A
SC
Other
Enumeration date
08/05/2025
Last updated
08/05/2025
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