Phillips, Mary Nell

Phillips, Mary Nell is an individual health care provider with primary practice located at 7945 Wolf River Blvd , Germantown TN 38138-1762. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Phillips, Mary Nell can be contacted via phone (901) 683-0055.

Contact Information

Primary practice address
7945 Wolf River Blvd Germantown TN 38138-1762
Phone: (901) 683-0055
Fax: (901) 685-2969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN5236 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A810241 Mississippi

Profile Details

NPI number 1164414504
LBN Legal business name Phillips, Mary Nell
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Apr 4th, 2017 - about 7 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 1164414504 NPPES
Mississippi MEDICAID 06429007
Mississippi MEDICAID 150945758
Mississippi MEDICAID 3909463

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