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Contact Information

JENNIFER PHILLIPS, RN
802 KAUFMAN AVE
TAHLEQUAH, OK74464-5145
 Phone: 918-456-9524
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
Indicates primary specialty

NPI Profile & details for JENNIFER PHILLIPS · (Male)

NPI Number 1417174632
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 04/19/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OK License # R0028259
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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