Individual provider · Type 1 NPI
Don Ellis Phillips Sr., PMHNP
Psychiatric/Mental Health Nurse Practitioner · Oakland, CA
NPI number
1396203253
Active
Practice location
6333 Telegraph Ave
Oakland, CA 94609-1359
Fax (510) 923-0894
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 95047438 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1396203253
Don Ellis Phillips Sr., PMHNP's National Provider Identifier is 1396203253, issued on Mar 8, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Oakland, CA. The record was last updated on Mar 8, 2019.