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Individual

CARLISA JANE PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN-CNP

Contact information

Practice address
5906 E 31ST ST STE 2, TULSA, OK 74135-5110
(918) 764-8234
(918) 782-9975
Mailing address
5906 E 31ST ST STE 2, TULSA, OK 74135-5110
(918) 764-8234
(918) 782-9975

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
64636
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200335850A
OK
Enumeration date
03/27/2011
Last updated
04/14/2026
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