Individual
MRS. JENNIFER LYNNE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29221 FRANKLIN HILLS DR, SOUTHFIELD, MI 48034-1150
(313) 258-5463
Mailing address
29221 FRANKLIN HILLS DR, SOUTHFIELD, MI 48034-1150
(313) 258-5463
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
4704254504
MI
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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