Providence Pediatrics, LLC
Providence Pediatrics, LLC is a Nurse Practitioner in Gray, Tennessee. Licensed in Tennessee. Registered with an NPI since 2014.
- Licensed in
- TN
- In the registry since
- 2014
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
140 Old Gray Station Rd Ste 200Gray, TN 37615-3612
Phone: (423) 477-2042
Fax: (423) 477-4571
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 6966 (TN) |
|---|
Record details
| NPI number | 1821497942 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Pennypacker — Owner · (423) 477-2042 |
| NPI enumerated | August 14, 2014 |
| Last updated in NPPES | August 14, 2014 |
| Mailing address | 140 Old Gray Station Road, Suite 200, Gray, TN 37615-3612 |
Other providers in Gray
-
Mrs. Melanie Dawn Davis
115 Judge Gresham Rd Ste B, Gray, TN 37615-6213 · (423) 477-2010
-
Adam Johnson
2103 Forest Dr Ste 5, Gray, TN 37615-8423 · (423) 794-3142
-
April N Steele, NP
115 Judge Gresham Rd Ste B, Gray, TN 37615-6213 · (423) 477-2885
-
Heather Marie Wine, MSN, FNP-C
136 Wine Rd, Gray, TN 37615-2485 · (423) 213-2198