Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Marie Phillips, APRN-C

Individual provider Family Nurse Practitioner · NPI 1700301272

Jennifer Marie Phillips, APRN-C is a Nurse Practitioner in O Fallon, Missouri. Qualified in 2017, 9 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
9
Licensed in
MO
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

20 Progress Point Pkwy Ste 206
O Fallon, MO 63368-2207
Phone: (636) 344-1073
Fax: (636) 344-1075
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Village Sq, Hazelwood, MO 63042-1820 — (314) 355-4010

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2017024367 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2017024367 (MO)

Record details

NPI number1700301272
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN-C
Sole proprietorYes
NPI enumeratedAugust 7, 2017
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in O Fallon