Individual
TERESA PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
18180 RICH VALLEY RD, ABINGDON, VA 24210-2118
(276) 628-8595
Mailing address
1048 TERRACE DR, MARION, VA 24354-4138
(276) 477-4246
(276) 783-2879
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024175955
VA
Other
Enumeration date
04/05/2018
Last updated
12/09/2024
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