Individual
JENNIFER MARIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
20 PROGRESS POINT PKWY STE 206, O FALLON, MO 63368-2207
(636) 344-1073
(636) 344-1075
Mailing address
PO BOX 959354, SAINT LOUIS, MO 63195-9354
(636) 344-1073
(636) 344-1075
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2017024367
MO
363LF0000X
Family Nurse Practitioner
2017024367
MO
Other
Enumeration date
08/07/2017
Last updated
09/17/2025
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