Individual
JONATHAN DAVID PHIPPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
925 10TH AVE, SIDNEY, NE 69162-1609
(308) 249-6728
Mailing address
1811 AVENUE G, SCOTTSBLUFF, NE 69361
(308) 283-9004
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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