Phyllis Coulter Everett
Nurse Practitioner, Adult Health in Wilmington, NC. Organization (NPI-2).
NPI number1164042982
StatusActive
Last updated in NPPESApr 22, 2020
Details
- NPI
- 1164042982
- Entity type
- Organization (NPI-2)
- Legal business name
- Phyllis Coulter Everett
- Organization subpart
- No
- Enumeration date
- Apr 22, 2020
- Certification date
- Apr 22, 2020
- Last updated
- Apr 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | – | – | Yes |
Other names
- Sapient Health Services (Doing Business As)
Practice location
3803 Peachtree AveWilmington, NC 28403-6727
Phone 910-799-6262 · Fax 910-799-6261
Mailing address
21430 Timberlake RdLynchburg, VA 24502-7248
Phone 434-944-0194
Authorized official
Briana McWilliams
Provider Enrollment
8008282012
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