Individual
MRS. JENNIFER ALISON PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6101 NE 107TH ST, OKLAHOMA CITY, OK 73151-9560
(405) 615-7161
Mailing address
6101 NE 107TH ST, OKLAHOMA CITY, OK 73151-9560
(405) 615-7161
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
102218
OK
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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