person
Jeannine Pamela Phillips, PA-C
Medical Physician Assistant in Golden Valley, Minnesota
NPI 1528248903

Jeannine Pamela Phillips is a Medical Physician Assistant based in Golden Valley, MN and is specialized in Medical. Jeannine Pamela Phillips practices in Golden Valley, MN and has the professional credentials of PA-C. The NPI Number for Jeannine Pamela Phillips is 1528248903 and holds a License No. 10348 (Minnesota).

The current practice location address for Jeannine Pamela Phillips is 1415 Lilac Dr N Ste 190, Golden Valley, MN and can be reached out via phone at 763-267-8701. You can also correspond with Jeannine Pamela Phillips through the mailing address at 1415 LILAC DR N STE 190, GOLDEN VALLEY, MN - 55422-4544 (mailing address contact number: 763-267-8701).

Location: 1415 Lilac Dr N Ste 190, Golden Valley, MN, 55422-4544
person
Provider Profile Details
NPI Number
1528248903
Provider Name
Jeannine Pamela Phillips
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1415 Lilac Dr N Ste 190, Golden Valley, MN, 55422-4544
Phone Number
763-267-8701
Fax Number
Provider Enumeration Date
11/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HP85889 01 MN HEALTH PARTNERS
154N5PH 01 MN BCBSM
P00474995 01 MN RR MEDICARE
139989 01 MN UCARE
178452100 05 MN
institution
Provider Business Practice Location Address Details
Address
1415 Lilac Dr N Ste 190
City
State
Zip
55422-4544
Phone Number
763-267-8701
Fax Number
person
Provider Business Mailing Address Details
Address
1415 Lilac Dr N Ste 190
City
State
Zip
55422-4544
Phone Number
763-267-8701
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
10348 (Minnesota)
Definition
Definition to come...
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