Individual
PHYLLIS M CHRISTENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8211
(904) 202-2000
Mailing address
1016 N DREXEL AVE, INDIANAPOLIS, IN 46201-2702
(317) 965-6924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28181085A
IN
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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