Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kinyetta Phillips

Individual provider Nurse's Aide · NPI 1821916008

Kinyetta Phillips is a Nurse's Aide in Horn Lake, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2026

Practice location Address checks out

7095 Tulane Rd N Apt 102
Horn Lake, MS 38637-1574
Phone: (901) 614-7583
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X · Licence 10090813 (MS)

Record details

NPI number1821916008
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 7, 2026
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing addressPo Box 676, Southaven, MS 38671-0007