| NPI | 1871092601 |
|---|---|
| Former Name | JILLIAN A PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017762) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: KY 1141427) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2022-06-14 |