person
Penny Fanning
Nurse Practitioner in North Charleston, South Carolina
NPI 1912566365

Penny Fanning is a Nurse Practitioner based in Charlotte, SC. Penny Fanning practices in North Charleston, SC. The NPI Number for Penny Fanning is 1912566365 and holds a License No. 22420 (South Carolina).

The current practice location address for Penny Fanning is 2910 Tricom St Ste 100, North Charleston, SC and can be reached out via phone at 843-572-9211. You can also correspond with Penny Fanning through the mailing address at PO BOX 751874, CHARLOTTE, NC - 28275-1874 (mailing address contact number: 843-402-5200).

Location: 2910 Tricom St Ste 100, North Charleston, SC, 28275-1874
person
Provider Profile Details
NPI Number
1912566365
Provider Name
Penny Fanning
Credential
Provider Entity Type
Individual
Gender
Female
Address
2910 Tricom St Ste 100, North Charleston, SC, 28275-1874
Phone Number
843-572-9211
Fax Number
Provider Enumeration Date
06/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP6107 05 SC
institution
Provider Business Practice Location Address Details
Address
2910 Tricom St Ste 100
City
State
Zip
29406-9351
Phone Number
843-572-9211
Fax Number
person
Provider Business Mailing Address Details
Address
2910 Tricom St Ste 100
City
State
Zip
29406-9351
Phone Number
843-572-9211
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
License No.
22420 (South Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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