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

Jelisa Phillippi

Individual provider Specialist · NPI 1316475908

Jelisa Phillippi is a Specialist in Fargo, North Dakota. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2

Practice location Address checks out

112 University Dr N Ste 300
Fargo, ND 58102-4661
Phone: (701) 388-9345
Show map & directions

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

Specialties & licences

Behavior Analyst (primary) Taxonomy 103K00000X · Licence 1-17-28640
Specialist Taxonomy 174400000X

Record details

NPI number1316475908
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 26, 2017
Last updated in NPPESApril 21, 2020
Certification dateApril 21, 2020
Mailing address112 University Dr N Ste 300, Fargo, ND 58102-4661

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