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

Mrs. Phyllis Thornton Waggoner, NP-C

Individual provider Family Nurse Practitioner · NPI 1831542190

Mrs. Phyllis Thornton Waggoner, NP-C is a Nurse Practitioner in Mechanicsville, Virginia. Qualified in 2016, 10 years ago. Practices with Advanced Mobile Wound Care of Virginia LLC, an 11-clinician group. Licensed in Virginia.

Years since qualifying
10
Licensed in
VA
In the registry since
2016
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

8015 Cold Harbor Rd
Mechanicsville, VA 23111-1650
Phone: (800) 640-3451
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024173765 (VA)

Record details

NPI number1831542190
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 21, 2016
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Advanced Mobile Wound Care Of Virginia Llc — 11 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Mechanicsville