MEDICARE: MRS. PHYLLIS PATRICIA COCONIS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	171157	NC

General Provider Information

NPI Number	:	1073815957
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. PHYLLIS PATRICIA COCONIS NP

Provider Business Mailing Address
First Line	:	610 BALFOUR RD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27104-3061
Country	:	US
Telephone Number	:	336-408-1409
Fax Number	:

Provider Business Practice Location Address
First Line	:	2554 LEWISVILLE-CLEMMONS RD
Second Line	:	STE 109
City	:	CLEMMONS
State	:	NC
Zip	:	27012-8749
Country	:	US
Telephone Number	:	704-766-1000
Fax Number	:	704-766-1002

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2010
Last Update Date	:	01/01/2024

Similar Medicare Providers

1497481899 — ALEASIA ANN LEE DMD
Practice Location Address:

2554 LEWISVILLE CLEMMONS RD STE 104
CLEMMONS, NC
27012-8749

Practice Phone: 336-860-7106
Practice Fax:

1245277532 — DR. ERIC WARREN HEIN M.D.
Practice Location Address:

2554 LEWISVILLE CLEMMONS RD STE 308
CLEMMONS, NC
27012-8749

Practice Phone: 336-245-8320
Practice Fax: 336-293-4857

1144432246 — MRS. AMY DIACHENKO FOSTER M.A.
Practice Location Address:

2554 LEWISVILLE CLEMMONS RD STE 303
CLEMMONS, NC
27012-8749

Practice Phone: 336-849-7890
Practice Fax: 336-223-5060

1487957783 — AMY D. FOSTER
Practice Location Address:

2554 LEWISVILLE CLEMMONS RD STE 303
CLEMMONS, NC
27012-8749

Practice Phone: 336-223-5060
Practice Fax: 855-726-7734

1700152915 — DR. SOPHIA YUAN M.D.
Practice Location Address:

2554 LEWISVILLE CLEMMONS RD STE 209
CLEMMONS, NC
27012-8749

Practice Phone: 336-660-6000
Practice Fax:

1477967503 — SARAH MARSHALL LCSW, LCAS
Practice Location Address:

2554 LEWISVILLE CLEMMONS RD STE 303
CLEMMONS, NC
27012-8749

Practice Phone: 336-429-0254
Practice Fax:

Directions to “ MRS. PHYLLIS PATRICIA COCONIS NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.