JEANNE CAROL PHILLIPS CNP NPI 1285657064

NPI Information

NPI: 1285657064
Provider Name: JEANNE CAROL PHILLIPS, CNP
Classification: Nurse Practitioner - 363LW0102X
Specialization: Women's Health
Entity Type: Individual
Address: 4640 JEFFERSON LN NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 843-6168

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NPI Details

Jeanne Carol Phillips, CNP is a women's health nurse practitioner in Albuquerque, NM. Jeanne Carol Phillips, CNP NPI is 1285657064. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4640 JEFFERSON LN NE
ALBUQUERQUE, NM
ZIP 87109-116
Phone: (505) 843-6168
Fax: (505) 792-1978

The enumeration date for this NPI number is 7/25/2006 and was last updated on 7/21/2020.

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	363LW0102X	Nurse Practitioner	Women's Health	R16377	NEW MEXICO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	90874	MEDICAID	NEW MEXICO

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: 11/21/2025

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