Individual
MALISSA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1125 N BUTTERFIELD RD, BOLIVAR, MO 65613-1056
(417) 326-7676
(417) 326-3939
Mailing address
1500 N OAKLAND AVE, BOLIVAR, MO 65613-3011
(417) 326-6000
(417) 328-6338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN116618
MO
Other
Enumeration date
08/16/2006
Last updated
12/10/2015
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