Individual
JACQUELINE KAY PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5136 HIGHWAY 80, MORTON, MS 39117-3636
(601) 940-2999
Mailing address
2288 STAGE RD, MORTON, MS 39117-8264
(601) 940-2999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
908102
MS
Other
Enumeration date
01/29/2026
Last updated
01/29/2026
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