Susan Kay Pennypacker in Gray - Family
Susan Kay Pennypacker - NPI 1194717157
Susan Kay Pennypacker is a Family in Gray, Tennessee. Susan Kay Pennypacker practices all healthcare services and medical treatments related to Family. The NPI Number for Susan Kay Pennypacker is 1194717157. The last update date is 2011-11-08.
Susan Kay Pennypacker's current location address is 140 Old Gray Station Rd, Gray, Tennessee. You can contact this provider via phone number 4234772042 and fax number 4234777571. The mailing address for Susan Kay Pennypacker is 140 Old Gray Station Rd, Gray, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Kay Pennypacker |
|---|---|
| Address | 140 Old Gray Station Rd, Gray, Tennessee |
| Phone Number | 4234772042 |
| Fax Number | 4234777571 |
| Sole Proprietor | Y |
| Credentials | FNP C |
NPI Number Detail
| NPI Number | 1194717157 |
|---|---|
| Provider Enumeration Date | 2005-08-16 |
| Last Updated Date | 2011-11-08 |
Provider Mailing Address Detail
| Address | 140 Old Gray Station Rd |
|---|---|
| City | Gray |
| State | Tennessee (TN) |
| Post Code | 37615 |
| Phone Number | 4234772042 |
| Fax Number | 4234777571 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 6966 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5440517 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Susan Kay Pennypacker by the Centers for Medicare & Medicaid Services?
The Susan Kay Pennypacker has been issued the NPI (National Provider Identifier) 1194717157, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Susan Kay Pennypacker is physically located?
The Susan Kay Pennypacker is physically situated at the following address: 140 Old Gray Station Rd, Gray, TN, 37615.
What is Susan Kay Pennypacker's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Susan Kay Pennypacker is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date was the 1194717157 assigned to Susan Kay Pennypacker?
The Susan Kay Pennypacker was issued its 1194717157 on 2005-08-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Susan Kay Pennypacker most recently updated or refreshed?
The details pertaining to the Susan Kay Pennypacker, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-11-08.