MEDICARE: REBECCA SUE PHILLIPS FNP

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	363LF0000X	Family Nurse Practitioner	A03265ANP	AR
2	363LF0000X	Family Nurse Practitioner	5006742	NC
3	363LF0000X	Family Nurse Practitioner	APN0000014292	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366778144
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA SUE PHILLIPS FNP

Provider Business Mailing Address
First Line	:	381 HILL ST
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-3510
Country	:	US
Telephone Number	:	828-360-3600
Fax Number	:	828-360-3602

Provider Business Practice Location Address
First Line	:	381 HILL ST
Second Line	:
City	:	MURPHY
State	:	NC
Zip	:	28906-3510
Country	:	US
Telephone Number	:	828-360-3600
Fax Number	:	828-360-3602

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

Provider Enumeration Date	:	10/28/2009
Last Update Date	:	08/27/2024

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