Mrs. Theresa C Phillips
Nurse Practitioner - Community Health
1616 Industrial Dr Cole County Health Department
Jefferson City
, Missouri 65109-1471
Mrs. Theresa C Phillips
Nurse Practitioner - Community Health
1616 Industrial Dr Cole County Health Department
Jefferson City
, Missouri 65109-1471
(573) 635-7534
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Mrs. Theresa C Phillips
- 411 Riverview Dr
- Jefferson City, MO
- Zip : 65101-4370
- Fax : (573) 635-7534
- Phone : (573) 659-6692
Second Address
- Mrs. Theresa C Phillips
- 1616 Industrial Dr Cole County Health Department
- Jefferson City, MO
- Zip : 65109-1471
- Fax : (573) 635-7534
- Phone : (573) 636-2181
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | 088676 | MO |
National Provider Identifier
| NPI | 1407952062 |
|---|---|
| Provider Name | Mrs. Theresa C Phillips |
| First Address | Jefferson City, MO 65101-4370 |
| Second Address | Jefferson City, MO 65109-1471 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| Q06745 | (02) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.