Individual
LADONNA MICHELLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
(601) 428-6561
Mailing address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
(601) 428-6561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R872330
MS
Other
Enumeration date
04/01/2013
Last updated
01/06/2016
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