Individual
MRS. JANGA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4055 VALLEY VIEW LN, DALLAS, TX 75244-5074
(972) 715-3800
Mailing address
2975 GALLOWAY PL, ABINGDON, MD 21009-2681
(240) 601-1103
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN207585
MD
363LG0600X
Gerontology Nurse Practitioner
R207585
MD
Other
Enumeration date
08/17/2020
Last updated
08/28/2021
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