Individual
PHYLLIS C AVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
102 PROFESSIONAL PARK, #A, OXFORD, NC 27565-2501
(919) 603-1665
(919) 603-0143
Mailing address
1600 PERIMETER PARK DR, SUITE 225, MORRISVILLE, NC 27560-8421
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5004902
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7005295
—
NC
Enumeration date
10/04/2010
Last updated
07/08/2013
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