Individual provider · Type 1 NPI
Jared Sheldon Penner
Psychiatric/Mental Health Nurse Practitioner · Chattanooga, TN
NPI number
1235817529
Active
Practice location
2205 Mccallie Ave
Chattanooga, TN 37404-3230
Mailing address
19 Summer Dr
Ringgold, GA 30736-3258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 34243 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1235817529
Jared Sheldon Penner's National Provider Identifier is 1235817529, issued on Jul 7, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Chattanooga, TN. The record was last updated on Oct 4, 2023.