Individual
MRS. PHYLLIS AYCOCK WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
615 COLLEGE ST, JACKSONVILLE, NC 28540-5310
(910) 455-7110
(910) 455-7938
Mailing address
PO BOX 7105, JACKSONVILLE, NC 28540-2105
(910) 455-7110
(910) 455-7938
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
082155
NC
163WC0400X
Case Management Registered Nurse
082155
NC
163WG0000X
General Practice Registered Nurse
082155
NC
163WH0200X
Home Health Registered Nurse
Primary
082155
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
082155
REGISTERED NURSE LICENSE
NC
01
—
5652586
DRIVER LICENSE
NC
Enumeration date
01/10/2007
Last updated
09/11/2025
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