Individual provider · Type 1 NPI

Penny Gateley Creekmore, FNP

Family Nurse Practitioner · Friendship, TN

NPI number 1730419425 Active

Practice location

522 Main St
Friendship, TN 38034-1966

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X0000129477 (TN)
Family Nurse Practitioner Primary 363LF0000X0000014856 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1730419425

Penny Gateley Creekmore, FNP's National Provider Identifier is 1730419425, issued on Jan 3, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Friendship, TN. The record was last updated on Oct 29, 2010.