Individual provider · Type 1 NPI
Tracy Lynn Phillips, AGCNS-BC
Gerontology Clinical Nurse Specialist · Augusta, GA
NPI number
1417614918
Active
Practice location
1120 15th St
Augusta, GA 30912-0004
Mailing address
1942 Joyner Pond Rd
Aiken, SC 29803-9512
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Clinical Nurse Specialist Primary | 364SG0600X | 23860 (SC) |
Gerontology Clinical Nurse Specialist: Definition to come...
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About NPI 1417614918
Tracy Lynn Phillips, AGCNS-BC's National Provider Identifier is 1417614918, issued on Nov 19, 2021. The primary taxonomy on file is Gerontology Clinical Nurse Specialist (364SG0600X), and the practice location is in Augusta, GA. The record was last updated on Nov 19, 2021.