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Organization

REGGIE PENNYPACKER, APRN-CNP, PLLC

Active
Find providers by NPI
Organization

REGGIE PENNYPACKER, APRN-CNP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. REGGIE DARNELL PENNYPACKER APRN-CNP (NURSE PRACTITIONER)
(580) 656-6661
Entity
Organization

Contact information

Practice address
3125 BROOKWOOD AVE, DUNCAN, OK 73533-1362
(580) 786-4018
(580) 786-4018
Mailing address
3125 BROOKWOOD AVE, DUNCAN, OK 73533-1362
(580) 786-4018
(580) 786-4018

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL

Other

Enumeration date
06/21/2019
Last updated
04/25/2025
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