| Ms Joan Shelton Phillips, FNPBC | |
|
13 Medical Campus Dr Nw Ste 102, Supply, NC 28462-4093 | |
| (910) 754-5988 | |
| (910) 754-5989 |
| Full Name | Ms Joan Shelton Phillips |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 13 Medical Campus Dr Nw Ste 102, Supply, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013032879 | NPI | - | NPPES |
| 2592928 | Other | PTAN | |
| 7004010 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 0050-02927 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5002927 (North Carolina) | Primary |
| Entity Name | Family Ties Of Brunswick, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831682665 PECOS PAC ID: 7911309430 Enrollment ID: O20210707000615 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Joan Shelton Phillips, FNPBC Po Box 60447, Charlotte, NC 28260-0447 Ph: () - | Ms Joan Shelton Phillips, FNPBC 13 Medical Campus Dr Nw Ste 102, Supply, NC 28462-4093 Ph: (910) 754-5988 |
Mrs. Alicia Hope Tyndall, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Doctors Cir, Suite 3, Supply, NC 28462 Phone: 910-754-7075 Fax: 910-754-2158 | |
Mrs. Mary Beth Koehler, PNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Doctors Cir, Suite 3, Supply, NC 28462 Phone: 910-754-7075 Fax: 910-754-2158 | |
Mrs. Amber Mae Marchio, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18 Doctors Cir, Supply, NC 28462 Phone: 910-754-6141 | |
Jennifer Danks, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Ocean Hwy W, Supply, NC 28462 Phone: 910-253-5885 | |
Mrs. Savannah Parker Ward, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2298 Ocean Hwy W, Supply, NC 28462 Phone: 910-755-3682 | |
Mrs. Dawn Sautters Harrison, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13 Medical Campus Dr Nw Ste 102, Supply, NC 28462 Phone: 910-754-5988 Fax: 910-754-5989 |