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Contact Information

JESSICA LOPEZ PHELPS, MD
1350 E MAIN ST STE 5
BARTOW, FL33830-5065
 Phone: 866-234-8534
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for JESSICA LOPEZ PHELPS · (Female)

NPI # 1548300379
Status Active
Credentials MD
Entity Individual
Enumeration date 02/08/2007
Last updated 05/21/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • FL License # ME174347
  • IN License # 01059534A
  • IN Medicaid 200500370
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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