Individual
DESTINI PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
593 EDDY ST., CLAVERICK 2, PROVIDENCE, RI 02903
(401) 444-4000
Mailing address
55 CLAVERICK ST FL 2, PROVIDENCE, RI 02903-4144
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01500
RI
363A00000X
Physician Assistant
Primary
—
RI
Other
Enumeration date
07/07/2022
Last updated
02/25/2026
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