MR. WILLIAM PHILLIPS NPI 1427563980

NPI Information

NPI: 1427563980
Provider Name: MR. WILLIAM PHILLIPS
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: PRIVATE DIAGNOSTIC CLINIC, PLLC

PECOS Registration: Yes

Address:
1325 SAN MARCO BLVD BLDG SUITE300
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 253-6910
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MR. William Phillips is an acute care nurse practitioner in Jacksonville, FL with 7 years of experience. MR. William Phillips NPI is 1427563980. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1325 SAN MARCO BLVD BLDG SUITE300
JACKSONVILLE, FL
ZIP 32207-568
Phone: (904) 253-6910

The NPI 1427563980 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/6/2017 and was last updated on 12/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	9351260	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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