IndividualActive
Jennifer Phillips, R.N.
NPI 1417174632 · Medical-Surgical Registered Nurse · Tahlequah, OK
Provider details
- NPI number
- 1417174632
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Credential
- R.N.
- Sex
- Male
- Sole proprietor
- Yes
- License
- R0028259 (OK)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
802 Kaufman Ave
Tahlequah, OK 74464-5145
Phone: (918) 456-9524
Street-level locationGet directions
Mailing address
802 Kaufman Ave
Tahlequah, OK 74464-5145
Registry dates
- Enumerated
- 2007-04-19
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.