Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Devan Tyler Penny, ATS

Individual provider Athletic Trainer · NPI 1023646742

Devan Tyler Penny, ATS is an Athletic Trainer in Pembroke, North Carolina. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

1 University Rd
Pembroke, NC 28372-8699
Phone: (910) 918-6990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1023646742
Entity typeIndividual (Type 1)
GenderMale
Credentials ATS
Sole proprietorNo
NPI enumeratedMarch 29, 2020
Last updated in NPPESMarch 29, 2020
Certification dateMarch 29, 2020
Mailing address1257 Whitehall Rd, Whiteville, NC 28472-5953

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