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

Phyllis Gail Koonce, CFNP

Individual provider Family Nurse Practitioner · NPI 1215948047

Phyllis Gail Koonce, CFNP is a Family Nurse Practitioner in Blue Mountain, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2006

Practice location Address checks out

100 County Road 714
Blue Mountain, MS 38610-9743
Phone: (662) 538-4111
Fax: (662) 538-4128
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R125960 (MS)

Record details

NPI number1215948047
Entity typeIndividual (Type 1)
GenderFemale
Credentials CFNP
Sole proprietorYes
NPI enumeratedAugust 10, 2006
Last updated in NPPESJuly 8, 2007
Mailing address100 County Road 714, Blue Mountain, MS 38610-9743

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