SUSAN MOORE PHILLIPS


Address: 103 Stateside Dr, Jonesborough, TN 37659-6837
Phone: 4237535896

SUSAN MOORE PHILLIPS (NPI# 1487978995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487978995
Entity Type Individual
Full Name SUSAN MOORE PHILLIPS
Credential RN
Practice Address 103 Stateside Dr
Jonesborough
TN 37659-6837
Practice Telephone 4237535896
Mailing Telephone 4237535896
Enumeration Date 2010-03-26
Last Update Date 2010-03-26
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
132697 TN Nursing Service Providers

Other Providers SUSAN PHILLIPS

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1720584568 Susan Phillips Nurse Practitioner 205 Smith Rd Ste D, Hope, AR 71801-8971 2018-04-02
1023452133 Susan Alexis Phillips Speech-Language Pathologist 201 Meadow Spring Rd, Greensburg, PA 15601-6936 2013-04-18
1831464114 Susan M Phillips Massage Therapist Deruyter Rd, South Otselic, NY 13155-0241 2012-03-20
1184920746 Susan Meehleis Phillips Marriage & Family Therapist 464 E E Street, Benicia, CA 94510-3288 2011-01-31
1467681650 Susan L Phillips Occupational Therapy Assistant 4438 Withrowwood Ct, Orlando, FL 32837-5506 2009-07-08
1235384223 Susan Lee Phillips Dietitian, Registered 6 Jodi Ct, Glen Cove, NY 11542-1479 2008-11-18
1831391275 Susan L. Phillips Acupuncturist 3383 Mariner Blvd, Spring Hill, FL 34609-2461 2007-06-05
1912108861 Susan J. Phillips Speech-Language Pathologist 617 Bitner Rd, Dunbar, PA 15431-2259 2007-05-29

Office Location

Street Address 103 STATESIDE DR
City JONESBOROUGH
State TN
Zip Code 37659-6837

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1538777669 Megan Gilchrist Pharmacist 22 New Halifax St, Jonesborough, TN 37659 2020-07-15
1316414337 Anna Brazell Radiology Lamont St and Veterans Way, Johnson City, TN 37659 2018-10-29
1952785081 East Tennessee State University Nurse Practitioner 3261 Tn 81, Jonesborough, TN 37659 2015-07-18
1487907564 Ashley Nugent Charfauros Pharmacist 1200 W. Jackson Blvd., Jonesborough, TN 37659 2012-10-26
1770871022 Walgreen Co Durable Medical Equipment & Medical Supplies 531 E Jackson Blvd, Jonesborough, TN 37659 2011-07-20
1548465784 Cradic Chiropractic Center Chiropractor 206 Headtown Rd Suite 100, Jonesborough, TN 37659 2007-06-18
1265517197 Jennie L. Walls Nurse Practitioner David Crockett High School Health Clinic, 684 Old State Route 34, Jonesborough, TN 37659 2006-10-26
1942262167 Kenneth Weaver Obstetrics & Gynecology 1103 E Jackson Blvd, Ste 1, Jonesborough, TN 37659 2006-04-04
1326534082 Hannah Ridley Behavioral Analyst 1015 Borowood Ct, Jonesborough, TN 37659 2018-07-06
1376044552 Rural Health Services Consortium of Upper East Tennessee Inc Clinic/Center 600 Boones Creek Rd, Jonesborough, TN 37659 2018-02-23
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174123632 Mary Chantay Mitchell Registered Nurse 3342 Caribou Dr, Memphis, TN 38115-3006 2020-10-26
1275151557 Ashley Haun Registered Nurse 1620 Gail St, Loudon, TN 37774-4821 2020-07-13
1437773397 Tanya D Jones Registered Nurse 4932 Baywood Dr, Millington, TN 38053-3963 2020-06-05
1144713728 Jacquelyn Rose Baker Registered Nurse 240 Medical Park Blvd Ste 3700, Bristol, TN 37620-7350 2018-06-08
1912496738 People's Choice Clinic, LLC Registered Nurse 2516 Pulaski Hwy, Columbia, TN 38401-5753 2018-05-07
1427578830 Patricia Ann Pritchett Registered Nurse 8626 Sunpoint Rd, Knoxville, TN 37923-1685 2017-06-27
1073047189 Becky Bruce Registered Nurse 1720 Woodlawn Ave Ste 1, Dyersburg, TN 38024-1300 2017-04-14
1952704801 Complete Hedalth Care Center Registered Nurse 1750 Madison Ave.ste 401, Complete Health Care Center, Memphis, TN 38104 2014-10-07
1831508027 Lenita W. Powers Registered Nurse 120 Bavarian Dr, Henderson, TN 38340-4394 2014-08-13
1396083432 Maame Amankwah Registered Nurse 1080 Blairfied Drive, Antioch, TN 37013 2013-01-24
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Competitor

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City JONESBOROUGH
Zip Code 37659

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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