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

Jacqueline Yevette Phillips

Individual provider Physician Assistant · NPI 1619656006

Jacqueline Yevette Phillips is a Physician Assistant in Hollywood, Florida. Licensed in Florida. Registered with an NPI since 2023.

Licensed in
FL
In the registry since
2023

Practice location Address checks out

3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone: (305) 466-9988
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9116892 (FL)

Record details

NPI number1619656006
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 13, 2023
Last updated in NPPESJuly 13, 2023
Certification dateJuly 10, 2023
Mailing address7490 Front Beach Road, Unit 1127, Panama City Beach, FL 32407

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