Provider Demographics
NPI:1568229276
Name:PHILLIPS, APRIL NIREE
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:NIREE
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:217 HILL ST
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-2827
Mailing Address - Country:US
Mailing Address - Phone:252-414-9851
Mailing Address - Fax:252-359-5336
Practice Address - Street 1:217 HILL ST
Practice Address - Street 2:
Practice Address - City:KINSTON
Practice Address - State:NC
Practice Address - Zip Code:28501-2827
Practice Address - Country:US
Practice Address - Phone:252-414-9851
Practice Address - Fax:252-359-5336
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH77631744P3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management