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

Mickey Phan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568113165

Mickey Phan is a Student in an Organized Health Care Education/Training Program in Oxford, Mississippi. Registered with an NPI since 2022.

In the registry since
2022

Practice location Partly verified

Some contact details are missing from the federal record.

University Ave
Oxford, MS 38655
Phone: (601) 910-8551
Show map & directions

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 number1568113165
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 14, 2022
Last updated in NPPESJanuary 14, 2022
Certification dateJanuary 11, 2022
Mailing address510 Hollyberry Dr, Clinton, MS 39056-5524

Other providers in Oxford