Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Louis Phillips

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1063339281

Jacob Louis Phillips is a Student in an Organized Health Care Education/Training Program in Jacksonville, Alabama. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

700 Pelham Rd N
Jacksonville, AL 36265-1602
Phone: (256) 424-1466
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1063339281
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 30, 2026
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address700 Pelham Rd N, Jacksonville, AL 36265-1602

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