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

Jessica Krystal Phillips

Individual provider Specialist · NPI 1689308017

Jessica Krystal Phillips is a Specialist in Fresh Meadows, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

6143 186th St
Fresh Meadows, NY 11365-2710
Phone: (516) 835-9212
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1551552211 (NY)

Record details

NPI number1689308017
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 12, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022
Mailing address53 E 43rd St, Brooklyn, NY 11203-3026

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