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Carl Douglas Phillips JR., FNP-C
Family Nurse Practitioner in Alexandria, Louisiana
NPI 1679853477

Carl Douglas Phillips JR. is a Family Nurse Practitioner based in Alexandria, LA and is specialized in Family. Carl Douglas Phillips JR. practices in Alexandria, LA and has the professional credentials of FNP-C. The NPI Number for Carl Douglas Phillips JR. is 1679853477 and holds a License No. AP06562 (Louisiana).

The current practice location address for Carl Douglas Phillips JR. is 109 Yorktown Dr Ste A, Alexandria, LA and can be reached out via phone at 318-542-4288 and via fax at 318-704-6201.

Location: 109 Yorktown Dr Ste A, Alexandria, LA, 71303-3455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679853477
Provider Name
Carl Douglas Phillips JR.
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
109 Yorktown Dr Ste A, Alexandria, LA, 71303-3455
Phone Number
318-542-4288
Fax Number
318-704-6201
Provider Enumeration Date
08/24/2011
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2160648 05 LA
institution
Provider Business Practice Location Address Details
Address
109 Yorktown Dr Ste A
City
Alexandria
State
Louisiana
Zip
71303-3673
Phone Number
318-542-4288
Fax Number
318-704-6201
person
Provider Business Mailing Address Details
Address
109 Yorktown Dr Ste A
City
Alexandria
State
Louisiana
Zip
71303-3673
Phone Number
318-542-4288
Fax Number
318-704-6201
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN115788-AP06562 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
AP06562 (Louisiana)
Definition
Definition to come...
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