| NPI | 1649515594 |
|---|---|
| Former Name | JILLIAN M PHIPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006976) |
| Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: FL ARNP9293625) |
| 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NC 270215) | |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2022-04-14 |