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Individual

TAYLOR LEE PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 884-8445
(573) 884-6292
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2021043560
MO
363LF0000X
Family Nurse Practitioner
2021043560
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420106561
MO
Enumeration date
02/09/2022
Last updated
05/09/2023
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