Individual
JESSICA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
60 S MAIN ST STE B0001, BRIGHAM CITY, UT 84302-6795
(435) 239-8768
Mailing address
60 S MAIN ST STE B0001, BRIGHAM CITY, UT 84302-6795
(435) 239-8768
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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