DR. PHYLLIS K MARION (NPI# 1902891450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902891450 |
| Entity Type | Individual |
| Full Name | DR. PHYLLIS K MARION |
| Credential | DNSC, CPNP-PC |
| Practice Address |
1601 Owen Dr Sr-ahec Specialty Medical Center Fayetteville NC 28304-3425 |
| Mailing Address |
1601 Owen Drive Sr-ahec Specialty Medical Center Fayetteville NC 28304-3489 |
| Practice Telephone | 9106787287 |
| Practice Fax Number | 9106787274 |
| Mailing Telephone | 9106787287 |
| Mailing Fax Number | 9106787274 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2011-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F380575 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 7004695 | 05 |
| Street Address |
1601 OWEN DR SR-AHEC SPECIALTY MEDICAL CENTER |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811525322 | Zanetta Batts | Student in an Organized Health Care Education/Training Program | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2020-03-30 |
| 1831726975 | Kelly Bullard | Student in an Organized Health Care Education/Training Program | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2020-03-26 |
| 1669009171 | Jason Alexander Cooper | Student in an Organized Health Care Education/Training Program | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2020-03-25 |
| 1568099208 | Daisy Kwende | Student in an Organized Health Care Education/Training Program | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2020-03-24 |
| 1043847536 | Dorian Christine Bonam | Student in an Organized Health Care Education/Training Program | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2020-03-24 |
| 1477180206 | Benison Mangel | Student in an Organized Health Care Education/Training Program | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2020-03-23 |
| 1770110512 | Jimmy Pan | Student in an Organized Health Care Education/Training Program | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2020-03-23 |
| 1255967113 | Leah Bryan | Student in an Organized Health Care Education/Training Program | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2020-03-22 |
| 1134680325 | Erin Olivia Clark | Student in an Organized Health Care Education/Training Program | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2019-03-29 |
| 1033670237 | Nikhil R Gupta | Student in an Organized Health Care Education/Training Program | 1601 Owen Dr, Fayetteville, NC 28304-3425 | 2019-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538702170 | Maya Tiffany Jacqueline King | Nurse Practitioner | 105 S Shore Ter, Fayetteville, GA 30214-7399 | 2019-10-27 |
| 1750686762 | Angela Marie Guidry | Nurse Practitioner | 1572 Highway 85 N Ste 203, Fayetteville, GA 30214-7726 | 2011-01-21 |
| 1093964975 | Brenda Carole Hayek | Nurse Practitioner | 735 Glynn Street S, Fayetteville, GA 30215 | 2008-09-16 |
| 1427182492 | Michelle L Roark | Nurse Practitioner | 3322 Melrose Rd, Fayetteville, NC 28304-1604 | 2007-03-14 |
| 1891306692 | Katlin Lee Yokeley | Nurse Practitioner | 1540 Purdue Dr Ste 101, Fayetteville, NC 28303-5510 | 2020-08-14 |
| 1912567447 | Mallory Washington | Nurse Practitioner | 101 Yorktown Dr Ste 102, Fayetteville, GA 30214-1578 | 2019-06-17 |
| 1710473111 | Cari Addington | Nurse Practitioner | 3215 N Northhills Blvd, Fayetteville, AR 72703-4424 | 2018-07-09 |
| 1063915049 | Alexa M Walker | Nurse Practitioner | 5617 Ramsey St, Fayetteville, NC 28311 | 2018-03-15 |
| 1801124334 | Barbara Jean Chapman-nellis | Nurse Practitioner | 1235 Ramsey Street, Fayetteville, NC 28301 | 2009-11-20 |
| 1144466921 | Katie Jean Poole | Nurse Practitioner | 509 Sandhurst Dr, Fayetteville, NC 28304-4433 | 2008-12-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on DR. PHYLLIS K MARION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.