Individual provider · Type 1 NPI

Robert Pennebaker, PMHNP-BC, LCSW

Psychiatric/Mental Health Nurse Practitioner · Fayetteville, NC

NPI number 1609957505 Active

Practice location

2931 Breezewood Ave Ste 104
Fayetteville, NC 28303-5281

Fax (910) 491-9781

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XC002032 (NC)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X5005524 (NC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1609957505

Robert Pennebaker, PMHNP-BC, LCSW's National Provider Identifier is 1609957505, issued on Oct 18, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fayetteville, NC. The record was last updated on Sep 24, 2020.