Individual provider · Type 1 NPI

Penny R. Thayer, FNP

Nurse Practitioner · Mountain Home, TN

NPI number 1790736189 Active

Practice location

Sidney And Lamont, Builging 69
Mountain Home, TN 37684

Mailing address

113 Rosewood Cir
Gray, TN 37615-2931

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPN0000006700 (TN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790736189

Penny R. Thayer, FNP's National Provider Identifier is 1790736189, issued on May 12, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mountain Home, TN. The record was last updated on Jul 13, 2026.