Individual
JONNIE S PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3747 W FORK RD, CINCINNATI, OH 45247-7548
(513) 961-4335
(513) 961-4227
Mailing address
3747 W FORK RD, CINCINNATI, OH 45247-7548
(513) 961-4335
(513) 961-4227
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
08008
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.08008
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200517900
—
IN
05
—
200517900A
—
IN
05
—
2535993
—
OH
05
—
7100056850
—
KY
05
—
78014164
—
KY
01
—
P00316324
RAIL ROAD MEDICARE
—
Enumeration date
02/21/2006
Last updated
10/11/2024
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