Individual
KATELYN SUE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
903 S STATE ST, JERSEYVILLE, IL 62052-2344
(618) 639-9255
(618) 639-8100
Mailing address
390 MAPLE SUMMIT RD, JERSEYVILLE, IL 62052-2000
(618) 498-7518
(618) 498-3052
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209027803
IL
Other
Enumeration date
02/22/2022
Last updated
11/13/2024
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