| Phyllis Gail Koonce, CFNP | |
|
100 County Road 714, Blue Mountain, MS 38610-9743 | |
| (662) 538-4111 | |
| (662) 538-4128 |
| Full Name | Phyllis Gail Koonce |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 100 County Road 714, Blue Mountain, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215948047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R125960 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Phyllis Gail Koonce, CFNP 100 County Road 714, Blue Mountain, MS 38610-9743 Ph: (662) 538-4111 | Phyllis Gail Koonce, CFNP 100 County Road 714, Blue Mountain, MS 38610-9743 Ph: (662) 538-4111 |
Donna Cannon, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1755 County Road 81, Blue Mountain, MS 38610 Phone: 662-538-4111 | |
Paula Decanter, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1755 County Road 81, Blue Mountain, MS 38610 Phone: 662-538-4111 Fax: 662-538-4128 |