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PHYLLIS GAIL KOONCE CFNP
NPI 1215948047
Nurse Practitioner - Family in Blue Mountain, MS

Active since August 10, 2006
100 COUNTY ROAD 714, BLUE MOUNTAIN, MS 38610(662) 538-4111(662) 538-4128 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phyllis Gail Koonce Cfnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS GAIL KOONCE CFNP (NPI 1215948047) is an individual family provider in Blue Mountain, Mississippi, licensed in Mississippi (R125960) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1215948047
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePHYLLIS GAIL KOONCECredential: CFNP
Location Address100 COUNTY ROAD 714Blue Mountain, MS 38610-9743
Mailing Address100 County Road 714Blue Mountain, MS 38610-9743 · (662) 538-4111 · Fax (662) 538-4128
Phone(662) 538-4111
Fax(662) 538-4128
Sole ProprietorYes
Enumeration DateAugust 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215948047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · R125960
100 COUNTY ROAD 714, Blue Mountain, MS 38610
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Other Identifiers 1

Medicare ID-Type Unspecified258973MS

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COTTON PLANT CLINIC
Clinic/Center (Rural Health)
100 COUNTY ROAD 714
BLUE MOUNTAIN, MS 38610
Tippah County (662) 538-4111
FAMILY CLINIC OF COTTON PLANT, LLC
Clinic/Center (Rural Health)
100 COUNTY ROAD 714
BLUE MOUNTAIN, MS 38610
Tippah County (662) 538-4111
PHYLLIS G KOONCE
Clinic/Center (Rural Health)
100 COUNTY ROAD 714
BLUE MOUNTAIN, MS 38610
Tippah County (662) 538-4111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Koonce's NPI number?

The NPI number for Phyllis Koonce is 1215948047. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Phyllis Koonce located?

Phyllis Koonce practices at 100 County Road 714, Blue Mountain, MS 38610. The listed phone number is (662) 538-4111.

What is Phyllis Koonce's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Phyllis Koonce was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.