Organization
180 HEALTH CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. APRIL LA SHONDA PHILLIPS APRN-C, AGPCNP-C (OWNER/NP)
(919) 623-0408
Entity
Organization
Contact information
Practice address
1801 EASTCHASE PKWY STE 123, FORT WORTH, TX 76120-4425
(682) 622-8990
Mailing address
PO BOX 200172, ARLINGTON, TX 76006-0172
(919) 623-0408
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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