Individual
JILL E PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-3455
Mailing address
700 S PARK ST STE A, MADISON, WI 53715-1830
(608) 260-2900
(608) 260-3455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8071-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497297675
—
WI
Enumeration date
11/05/2016
Last updated
11/11/2020
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