# PHYLLIS COULTER EVERETT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sapient Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164042982
- **Authorized official:** BRIANA MCWILLIAMS (PROVIDER ENROLLMENT)
- **Authorized official phone:** (800) 828-2012

## Contact information

- **Practice address:** 3803 PEACHTREE AVE, WILMINGTON, NC 28403-6727
- **Practice address phone:** (910) 799-6262
- **Practice address fax:** (910) 799-6261
- **Mailing address:** 21430 TIMBERLAKE RD, LYNCHBURG, VA 24502-7248
- **Mailing address phone:** (434) 944-0194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/22/2020
- **Last updated:** 04/22/2020