Individual
PENNY LYNN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
207 OLD LEXINGTON RD, THOMASVILLE, NC 27360-3428
(336) 474-3444
(336) 474-8111
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-4820
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006910
NC
363LA2200X
Adult Health Nurse Practitioner
5006910
NC
Other
Enumeration date
06/17/2014
Last updated
07/29/2024
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