Phillips, Jeanne Carol

Phillips, Jeanne Carol is an individual health care provider with primary practice located at 4640 Jefferson Ln Ne , Albuquerque NM 87109-2116. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Phillips, Jeanne Carol can be contacted via phone (505) 843-6168.

Contact Information

Primary practice address
4640 Jefferson Ln Ne Albuquerque NM 87109-2116
Phone: (505) 843-6168
Fax: (505) 792-1978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X R16377 New Mexico

Profile Details

NPI number 1285657064
LBN Legal business name Phillips, Jeanne Carol
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 21st, 2020 - about 6 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 1285657064 NPPES
New Mexico MEDICAID 90874

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