Individual
PEGGY M. MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
207 E MYRTLE AVE, JOHNSON CITY, TN 37601-4633
(423) 926-2500
(423) 926-5999
Mailing address
PO BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4078
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN005102
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100049918
PHP
TN
05
—
3903661
—
TN
01
—
4102133
BLUECROSSBLUESHIELD
TN
01
—
TN01E4
JOHN DEERE
TN
Enumeration date
06/27/2006
Last updated
01/23/2008
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