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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. JENNIFER PHILLIPS, R.N.

Active Sole Proprietor

MRS. JENNIFER PHILLIPS, R.N. is a Medical-Surgical Nurse healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1417174632 is currently active in the NPPES registry. Verify at CMS.

Medical-Surgical Nurse · TAHLEQUAH, OK

Registration Details

NPI Number
1417174632
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2007 (19.323057597129 yrs)
Last Updated
Jul 8, 2007
License
R0028259 (OK)
Sole Proprietor
Yes

Practice Information

Address
802 KAUFMAN AVE
TAHLEQUAH, OK, 744645145
Browse OK providers · Browse ZIP 74464
Phone
9184569524
Primary Specialty
Medical-Surgical Nurse
163WM0705X
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.