Jasmine Monet Phillips
Individual provider Active NPI Health Service Psychologist · Crawford, MS
NPI 1033837232 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1033837232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Service Psychologist 103TH0100X
- Practice address
- 4534 Hardy Billups Rd
Crawford, MS 39743-9473 - Phone
- (662) 549-8808
- NPI assigned
- Aug 15, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | Yes |
Addresses
Primary practice location
4534 Hardy Billups Rd
Crawford, MS 39743-9473
Mailing address
4534 Hardy Billups Rd
Crawford, MS 39743-9473
Phone (662) 549-8808
Other providers in Crawford, MS
- Tia Anthony
- Tamika R Buckhalter
- Latossia Brunell Clark
- D&T Transportation of Crawford LLC
- Tameka Davis
All providers in Crawford, MS · Health Service Psychologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.