Phillips, Jacqueline

Phillips, Jacqueline is an individual health care provider with primary practice located at 2595 S Cimarron Rd Ste 107 , Las Vegas NV 89117-2697. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Nursing Service Providers / Registered Nurse. Nursing Service Providers / Registered Nurse is her primary health care specialty. Phillips, Jacqueline can be contacted via phone (702) 328-5679.

Contact Information

Primary practice address
2595 S Cimarron Rd Ste 107 Las Vegas NV 89117-2697
Phone: (702) 328-5679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Nursing Service Providers / Registered Nurse 163W00000X RN19485 Nevada

Profile Details

NPI number 1619525268
LBN Legal business name Phillips, Jacqueline
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2019
Last updated Aug 27th, 2019 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619525268 NPPES
Nevada MEDICAID 1083191738

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