Individual
RAND RILEY PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1960 S 16TH ST, WILMINGTON, NC 28401-6676
(910) 343-9991
(910) 550-3787
Mailing address
PO BOX 936857, ATLANTA, GA 31193-6857
(910) 662-6000
(910) 341-5164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005537
NC
Other
Enumeration date
03/01/2012
Last updated
04/03/2025
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