Individual
KACEY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6414 U S HIGHWAY 98 STE 80, HATTIESBURG, MS 39402-7838
(601) 261-1800
(601) 261-1801
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 268-5800
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905420
MS
363LA2100X
Acute Care Nurse Practitioner
905420
MS
Other
Enumeration date
04/27/2022
Last updated
06/25/2025
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