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
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275960304
NPI NUMBER
OK
Enumeration date
06/21/2019
Last updated
04/25/2025
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