| Doctor Name: | MS. JOAN SHELTON PHILLIPS |
| NPI Number: | 1013032879 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNPBC |
| License Number: | 0050-02927 |
| Business Practice Address: | 951 Rockford St Mount Airy, NC - 270305323 |
| Business Phone Number: | 3367197993 |
| Business Fax Number: | 3367196550 |
| Mailing Address: | 951 Rockford St, MOUNT AIRY |
| State: | NC |
| Postal Code: | 270305323 |
| Phone Number: | 3367197993 |
| Fax Number: | 3367196550 |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 12/29/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 0050-02927 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |