Individual
DIANNA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1040 RIVER OAKS DR, SUITE 302, JACKSON, MS 39232-9530
(601) 939-9723
(601) 939-9924
Mailing address
1040 RIVER OAKS DR, SUITE 302, JACKSON, MS 39232-9530
(601) 939-9723
(601) 939-9924
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R724777
MS
Other
Enumeration date
04/17/2013
Last updated
04/22/2013
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