FNP-C Carl Douglas Phillips JR., NPI 1679853477
Psychiatric/Mental Health Nurse Practitioner in Alexandria, LA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1679853477
NPI Entity Type Individual
Provider Name FNP-C Carl Douglas Phillips JR.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 109 Yorktown Dr Ste A, Alexandria, LA, US
Provider Mailing Address 5403 Hidden Ridge Ln, Baton Rouge, LA, US, 708166359
Gender Male
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

363LP0808X

Taxonomy Name Psychiatric/Mental Health Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. AP06562
License State LA
Description Definition to come...

Business Address

FNP-C Carl Douglas Phillips JR.
109 Yorktown Dr Ste A

Alexandria, LA, US

Phone: 318-542-4288
Fax: 318-704-6201

Mailing Address

FNP-C Carl Douglas Phillips JR.
5403 Hidden Ridge Ln
Baton Rouge, LA, US
ZIP 708166359
Phone: 504-400-0848

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

363LF0000X

Physician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

RN115788-AP06562 LA No

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