Phillips, Glenda A.

Phillips, Glenda A. is an individual health care provider with primary practice located at 8075 Gate Pkwy W Ste 305 , Jacksonville FL 32216-3685. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife. Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife is her primary health care specialty. Phillips, Glenda A. can be contacted via phone (904) 296-2992.

Contact Information

Primary practice address
8075 Gate Pkwy W Ste 305 Jacksonville FL 32216-3685
Phone: (904) 296-2992
Fax: (904) 296-2993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X ARNP 893572 Florida
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP 893572 Florida

Profile Details

NPI number 1982628798
LBN Legal business name Phillips, Glenda A.
Credentials C.N.M, A.R.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Aug 17th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982628798 NPPES
Florida MEDICAID 307864700

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