Individual provider · Type 1 NPI

John Mark Phillips, RN

Psychiatric/Mental Health Registered Nurse · Modesto, CA

NPI number 1407036361 Active

Practice location

1100 Kansas Ave, Suite A
Modesto, CA 95351-1596

Fax (209) 558-4042

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Registered Nurse Primary 163WP0808X538019 (CA)

Psychiatric/Mental Health Registered Nurse: Definition to come...

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About NPI 1407036361

John Mark Phillips, RN's National Provider Identifier is 1407036361, issued on Nov 8, 2007. The primary taxonomy on file is Psychiatric/Mental Health Registered Nurse (163WP0808X), and the practice location is in Modesto, CA. The record was last updated on Nov 8, 2007.