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Ms. Susan Kay Pennypacker, FNPC
Family Nurse Practitioner in Gray, Tennessee
NPI 1194717157

Susan Kay Pennypacker is a Family Nurse Practitioner based in Gray, TN and is specialized in Family. Susan Kay Pennypacker practices in Gray, TN and has the professional credentials of FNPC. The NPI Number for Susan Kay Pennypacker is 1194717157 and holds a License No. 6966 (Tennessee).

The current practice location address for Susan Kay Pennypacker is 140 Old Gray Station Rd, Gray, TN and can be reached out via phone at 423-477-2042 and via fax at 423-477-7571.

Location: 140 Old Gray Station Rd, Gray, TN, 37615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194717157
Provider Name
Susan Kay Pennypacker
Credential
FNPC
Provider Entity Type
Individual
Gender
Female
Address
140 Old Gray Station Rd, Gray, TN, 37615
Phone Number
423-477-2042
Fax Number
423-477-7571
Provider Enumeration Date
08/16/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5440517 05 TN
institution
Provider Business Practice Location Address Details
Address
140 Old Gray Station Rd
City
Gray
State
Tennessee
Zip
37615
Phone Number
423-477-2042
Fax Number
423-477-7571
person
Provider Business Mailing Address Details
Address
140 Old Gray Station Rd
City
Gray
State
Tennessee
Zip
37615
Phone Number
423-477-2042
Fax Number
423-477-7571
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
6966 (Tennessee)
Definition
Definition to come...
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