Provider Demographics
NPI:1134376817
Name:PHILLIPS, SUZANNE DAWN (RN, APN, ACNP-BC)
Entity type:Individual
Prefix:MRS
First Name:SUZANNE
Middle Name:DAWN
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:RN, APN, ACNP-BC
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Mailing Address - Street 1:4 WALTER E FORAN BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4664
Mailing Address - Country:US
Mailing Address - Phone:908-782-3204
Mailing Address - Fax:908-788-5279
Practice Address - Street 1:4 WALTER E FORAN BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4664
Practice Address - Country:US
Practice Address - Phone:908-782-3204
Practice Address - Fax:908-788-5279
Is Sole Proprietor?:No
Enumeration Date:2008-08-25
Last Update Date:2022-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00167200363L00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner