Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTHONY DERRAL PHILLIPS, RN, BSN
Active Sole ProprietorANTHONY DERRAL PHILLIPS, RN, BSN is a Registered Nurse healthcare provider located in JACKSONVILLE, Oregon. NPI 1245475813 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · JACKSONVILLE, OR
Registration Details
- NPI Number
- 1245475813
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 10, 2008 (17.494817036535 yrs)
- Last Updated
- Dec 10, 2008
- Licenses
-
099006484RN (OR)099006484RN (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 CHINA GULCH RDJACKSONVILLE, OR, 975309744Browse OR providers · Browse ZIP 97530
- Phone
- 5418994911
- Fax
- 5418994911
- Primary Specialty
-
Registered Nurse
163W00000X
- Additional Specialty
- Registered Nurse
Other Registered Nurse Providers in JACKSONVILLE, OR
| Name | Credential | NPI |
|---|---|---|
| KIMBERLY ANN CAFFREY | RN | 1679813836 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.