Individual provider · Type 1 NPI
Kinyetta Phillips
Nurse's Aide · Horn Lake, MS
Practice location
7095 Tulane Rd N Apt 102
Horn Lake, MS 38637-1574
Mailing address
PO Box 676
Southaven, MS 38671-0007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse's Aide Primary | 376K00000X | 10090813 (MS) |
Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…
Another provider at this address
About NPI 1821916008
Kinyetta Phillips's National Provider Identifier is 1821916008, issued on Jul 7, 2026. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Horn Lake, MS. The record was last updated on Jul 7, 2026.