Individual
MS. JENNIFER ROSE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
6804 CECELIA DRIVE, NEW PORT RICHEY, FL 34653-4935
(855) 232-0644
(888) 546-0488
Mailing address
6804 CECELIA DRIVE, NEW PORT RICHEY, FL 34653-4935
(855) 232-0644
(888) 546-0488
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN9264110
FL
363LG0600X
Gerontology Nurse Practitioner
APRN9264110
FL
363LP2300X
Primary Care Nurse Practitioner
AG0815117
FL
Other
Enumeration date
09/16/2015
Last updated
08/04/2023
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