Individual
JENNIFER MICHELLE PHLIPOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APRN, FNP-C
Contact information
Practice address
471 MARKER RD, VERSAILLES, OH 45380-9324
(937) 526-9834
Mailing address
1023 JACKSON ST, VERSAILLES, OH 45380-9307
(937) 526-3166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA-15898-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105779
—
OH
Enumeration date
05/28/2014
Last updated
08/20/2014
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