Healthcare Provider Details

I. General information

NPI: 1902315260
Provider Name (Legal Business Name): ALAINA JO PHILLIS CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2017
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 WASHINGTON BLVD SUITE G EXPRESS CARE - BELPRE
BELPRE OH
45714
US

IV. Provider business mailing address

416 COLEGATE DR BLDG 3
MARIETTA OH
45750-9549
US

V. Phone/Fax

Practice location:
  • Phone: 740-423-3240
  • Fax: 740-401-0440
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.021760
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: