Individual
ASHANTI SELECE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1244 WORTHAM DR, GREENVILLE, MS 38701-6319
(662) 695-0656
Mailing address
1244 WORTHAM DR, GREENVILLE, MS 38701-6319
(662) 695-0656
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R885352
MS
Other
Enumeration date
06/23/2023
Last updated
06/23/2023
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