Individual
MRS. PHYLLIS COULTER EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN AOCN AGN-BC NP-C
Contact information
Practice address
10961 LEE JACKSON HWY, BIG ISLAND, VA 24526
(434) 299-5029
Mailing address
21430 TIMBERLAKE RD, LYNCHBURG, VA 24502-7248
(540) 297-6026
(540) 297-6048
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024166699
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861472458
—
VA
Enumeration date
01/19/2006
Last updated
01/05/2026
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