Individual
MRS. OLIVE ANN PHILLIPS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1400 FORT ROOTS DR., NORTH LITTLE ROCK, AR 72114
(501) 257-2626
(501) 257-2026
Mailing address
2609 VALLEY PARK DR, LITTLE ROCK, AR 72212-2789
(501) 223-3427
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
AO1389
AR
Other
Enumeration date
08/19/2006
Last updated
07/09/2007
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