Individual
PENELOPE LYNN NEAL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
501 ADESSA PKWY, STE A150, LENOIR CITY, TN 37771-6725
(865) 986-8082
(865) 986-5890
Mailing address
DEPT 888182, KNOXVILLE, TN 37995-0001
(800) 355-3565
(423) 714-2355
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN125503
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3348327
—
TN
Enumeration date
07/12/2005
Last updated
07/08/2007
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