Individual provider · Type 1 NPI

Susan Kay Pennypacker, FNP C

Family Nurse Practitioner · Gray, TN

NPI number 1194717157 Active

Practice location

140 Old Gray Station Rd, Suite 200
Gray, TN 37615

Call (423) 477-2042 Map

Fax (423) 477-7571

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X6966 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1194717157

Susan Kay Pennypacker, FNP C's National Provider Identifier is 1194717157, issued on Aug 16, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gray, TN. The record was last updated on Nov 8, 2011.