MEDICARE: JMJ CLINIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician

General Provider Information

NPI Number	:	1184571275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JMJ CLINIC

Provider Business Mailing Address
First Line	:	1780 VICTORIA CHASE CT
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-3375
Country	:	US
Telephone Number	:	806-773-0678
Fax Number	:

Provider Business Practice Location Address
First Line	:	1780 VICTORIA CHASE CT
Second Line	:
City	:	FLEMING ISLAND
State	:	FL
Zip	:	32003-3375
Country	:	US
Telephone Number	:	806-773-0678
Fax Number	:

Authorized Official
Title or Position	:	MD
Name	:	DR. JASON PHILLIPS
Credential	:	MD
Telephone Number	:	806-773-0678

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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Directions to “JMJ CLINIC ” Practice Location

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