Nicole Pennock, IDMT
Military Health Care Provider, Independent Duty Medical Technicians in Mcguire Afb, New Jersey
1508000225- Practice location
- 3458 Neely RD, Mcguire Afb, NJ 08641
- Phone
- 609-754-9080
- Fax
- —
- Last updated
- April 24, 2009
Nicole Pennock is a Military Health Care Provider, Independent Duty Medical Technicians based in Mcguire Afb, NJ. Nicole Pennock practices in Mcguire Afb, NJ and has the professional credentials of IDMT. The NPI Number for Nicole Pennock is 1508000225. The current practice location address for Nicole Pennock is 3458 Neely RD, Mcguire Afb, NJ 08641 and can be reached out via phone at 609-754-9080.
Provider Profile Details
- NPI Number
- 1508000225
- Provider Name
- Nicole Pennock
- Credential
- IDMT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3458 Neely RD, Mcguire Afb, NJ 08641
- Phone Number
- 609-754-9080
- Primary Taxonomy
- Military Health Care Provider, Independent Duty Medical Technicians · 1710I1003X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 24, 2009
- Last Update Date
- April 24, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3458 Neely RD
Mcguire Afb, NJ 08641 - City
- Mcguire Afb
- State
- New Jersey
- Zip
- 08641
- Phone Number
- 609-754-9080
Provider Business Mailing Address Details
- Address
- 3458 Neely RD
Mcguire Afb, NJ 08641 - City
- Mcguire Afb
- State
- NJ
- Zip
- 08641
License Information
- Taxonomy
- Military Health Care Provider, Independent Duty Medical Technicians · 1710I1003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Military Health Care Provider, Independent Duty Medical Technicians providers near Mcguire Afb, NJ
View all Military Health Care Provider, Independent Duty Medical Technicians providers in Mcguire Afb →- Jamal Hogan Sr., IDMTMilitary Health Care Provider, Independent Duty Medical Technicians · NPI 1306263108
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Frequently Asked Questions
What is the NPI number of Nicole Pennock, IDMT?
The NPI number of Nicole Pennock, IDMT is 1508000225. It was assigned on April 24, 2009 and is currently active in the NPPES registry.
What is the specialty of Nicole Pennock, IDMT?
Nicole Pennock, IDMT is registered under the primary taxonomy Military Health Care Provider, Independent Duty Medical Technicians (code 1710I1003X).
Where does Nicole Pennock, IDMT practice?
The practice location is 3458 Neely RD, Mcguire Afb, NJ 08641. The office can be reached at 609-754-9080 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508000225 directly on the NPPES registry website.