Providence Pediatrics, LLC

NPI #1821497942 in Gray, Tennessee

Provider Information

NPI Number: 1821497942
Entity Type: Organization
Organization Name: Providence Pediatrics, LLC
Primary Specialty: Nurse Practitioner
Enumeration Date: Aug 14, 2014
Last Updated: Aug 14, 2014

Practice Location

Address: 140 OLD GRAY STATION ROAD
Address 2: SUITE 200
City: Gray
State: Tennessee
ZIP Code: 37615-3612
Phone: (423) 477-2042

Authorized Official

Name: MS. SUSAN KAY PENNYPACKER, FNP-C
Title: OWNER
Phone: (423) 477-2042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

Similar Providers

Provider Name	Specialty	City
Wanda Jarrett, NP	Nurse Practitioner	Gray	AI Deep Dive
MRS. Melanie Dawn Davis	Nurse Practitioner	Gray	AI Deep Dive
April N Steele, NP	Nurse Practitioner	Gray	AI Deep Dive
Nancy Pace, FNP	Nurse Practitioner	Kingsport	AI Deep Dive
Melissa A Robbins, FNP	Nurse Practitioner	Johnson City	AI Deep Dive

Want to research this healthcare provider further?

Try NewBizBot free