Individual
JACQUELINE EILEEN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1624 LIBRARY LN STE C, MINDEN, NV 89423-4476
(775) 782-3767
(775) 782-5650
Mailing address
1624 LIBRARY LN STE C, MINDEN, NV 89423-4476
(775) 782-3767
(775) 782-5650
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN001879
NV
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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