Doctor Name: | CHRISTY LYNN PHILLIPS |
NPI Number: | 1346533304 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-BC |
License Number: | 5005279 |
Business Practice Address: | 1249 Chickenfoot Road Suite A Hope Mills, NC - 28348 |
Business Phone Number: | 9104231278 |
Business Fax Number: | 9104232547 |
Mailing Address: | 2600 N Elm St, LUMBERTON |
State: | NC |
Postal Code: | 283583011 |
Phone Number: | 9102723051 |
Fax Number: | 9107383764 |
NPI Enumeration Date: | 05/24/2011 |
NPI Last Update Date: | 03/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 5005279 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |