Individual
BROOKE NICOLE PENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2312 KNOB CREEK RD STE 208, JOHNSON CITY, TN 37604-2367
(423) 610-1099
Mailing address
251 HUNTER HILLS CIR APT 1, BRISTOL, TN 37620-5653
(276) 206-9691
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
25633
TN
Other
Enumeration date
04/22/2019
Last updated
06/14/2022
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