Retunda Jackson- Phiffer
NPI #1285469148 in Granite City, Illinois
Provider Information
- NPI Number
- 1285469148
- Entity Type
- Individual
- Name
- Retunda Jackson- Phiffer
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Sep 2, 2024
- Last Updated
- Nov 6, 2024
Practice Location
- Address
- 2166 MADISON AVE
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4700
- Phone
- (618) 452-3301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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