Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHYLLIS GAIL KOONCE, CFNP
Active Sole ProprietorPHYLLIS GAIL KOONCE, CFNP is a Family Nurse Practitioner healthcare provider located in BLUE MOUNTAIN, Mississippi. NPI 1215948047 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BLUE MOUNTAIN, MS
Registration Details
- NPI Number
- 1215948047
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2006 (19.996142210888 yrs)
- Last Updated
- Jul 8, 2007
- License
-
R125960 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 COUNTY ROAD 714BLUE MOUNTAIN, MS, 386109743Browse MS providers · Browse ZIP 38610
- Phone
- 6625384111
- Fax
- 6625384128
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in BLUE MOUNTAIN, MS
| Name | Credential | NPI |
|---|---|---|
| PAULA DECANTER | FNP | 1750351540 |
| DONNA CANNON | FNP-C | 1306236617 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.