MEDICARE: JOELLE D. PHILLIPS PMHNP, RN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	5390	HI
2	163W00000X	Registered Nurse	45922	HI

General Provider Information

NPI Number	:	1750274999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOELLE D. PHILLIPS PMHNP, RN

Provider Business Mailing Address
First Line	:	95-695 KIPAPA DR APT 32
Second Line	:
City	:	MILILANI
State	:	HI
Zip	:	96789-1052
Country	:	US
Telephone Number	:	808-399-0477
Fax Number	:

Provider Business Practice Location Address
First Line	:	546 KAAAHI ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96817-4630
Country	:	US
Telephone Number	:	808-479-3200
Fax Number	:	808-841-3315

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2025
Last Update Date	:	04/14/2026

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