Individual
CHARISSA BETH PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
3499 BLAZER PKWY STE 330, LEXINGTON, KY 40509-2828
(859) 724-5370
(859) 201-1084
Mailing address
3499 BLAZER PKWY STE 330, LEXINGTON, KY 40509-2828
(859) 724-5370
(859) 201-1084
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014528
KY
Other
Enumeration date
01/26/2021
Last updated
03/06/2026
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