Individual provider · Type 1 NPI
Theresa C. Phillips, MSN APRN, BC
Community Health Nurse Practitioner · Jefferson City, MO
NPI number
1407952062
Active
Practice location
1616 Industrial Dr, Cole County Health Department
Jefferson City, MO 65109-1471
Fax (573) 635-7534
Mailing address
411 Riverview Dr
Jefferson City, MO 65101-4370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Nurse Practitioner Primary | 363LC1500X | 088676 (MO) |
Community Health Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1407952062
Theresa C. Phillips, MSN APRN, BC's National Provider Identifier is 1407952062, issued on Sep 14, 2006. The primary taxonomy on file is Community Health Nurse Practitioner (363LC1500X), and the practice location is in Jefferson City, MO. The record was last updated on Jul 8, 2007.