| Jenifer Phelps, Pllc | |
|
2202 Wrightsville Ave Suite 211 Wilmington NC 28403-3051 | |
| (910) 833-8370 | |
| (910) 833-8371 |
| Full Name | Jenifer Phelps, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2202 Wrightsville Ave, Wilmington, North Carolina |
| Authorized Official Name and Position | Jenifer Phelps (NURSE PRACTITIONER / OWNER) |
| Authorized Official Contact | 9107909103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenifer Phelps, Pllc 6004 Nettle Cir Wilmington NC 28405-3782 Ph: (910) 790-9103 | Jenifer Phelps, Pllc 2202 Wrightsville Ave Suite 211 Wilmington NC 28403-3051 Ph: (910) 833-8370 |
| NPI Number | 1174915185 |
|---|---|
| Provider Enumeration Date | 02/27/2015 |
| Last Update Date | 02/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174915185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 900221 (North Carolina) | Primary |
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