Individual
MS. AJI S PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, RN, APRN
Contact information
Practice address
2000 S FM 51, DECATUR, TX 76234-3702
(940) 626-1848
(940) 626-1849
Mailing address
1816 S FM 51, SUITE 400, #130, DECATUR, TX 76234
(940) 626-1848
(940) 626-1849
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1050559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
TX
05
—
PENDING
—
TX
Enumeration date
11/15/2020
Last updated
10/12/2021
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