Organization
CHANCE PHILLIPS, FNP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANCE LEROY PHILLIPS APRN-CNP (OWNER/NURSE PRACTITIONER)
(806) 886-0062
Entity
Organization
Contact information
Practice address
4564 S HARVARD AVE STE B, TULSA, OK 74135-2918
(918) 508-2220
Mailing address
2706 E 39TH PL, TULSA, OK 74105-8209
(806) 886-0062
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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