Jackson- Phiffer, Retunda

Jackson- Phiffer, Retunda is an individual health care provider with primary practice located at 2166 Madison Ave , Granite City IL 62040-4700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jackson- Phiffer, Retunda can be contacted via phone (618) 452-3301.

Contact Information

Primary practice address
2166 Madison Ave Granite City IL 62040-4700
Phone: (618) 452-3301
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209030994 Illinois

Profile Details

NPI number 1285469148
LBN Legal business name Jackson- Phiffer, Retunda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2024
Last updated Nov 6th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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