Susan Pennypacker, FNP C

NPI 1194717157 · on the registry since 2005 · sole proprietor

Practice

Address: 140 Old Gray Station Rd
Suite 200
Gray, TN 37615
Phone: (423) 477-2042
Fax: (423) 477-7571
Organisation at this address: Providence Pediatrics, Llc
Tri-Cities Pediatric Endocrinology, Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Licence states on file: TN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2011-11-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee