Individual
GLENDA A. PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M, A.R.N.P.
Contact information
Practice address
8075 GATE PKWY W STE 305, JACKSONVILLE, FL 32216-3685
(904) 296-2992
(904) 296-2993
Mailing address
PO BOX 16568, JACKSONVILLE, FL 32245-6568
(904) 472-2300
(904) 472-2330
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
ARNP 893572
FL
367A00000X
Advanced Practice Midwife
Primary
ARNP 893572
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
307864700
—
FL
Enumeration date
07/26/2006
Last updated
08/17/2020
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