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Individual

ANDREA REED PENNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP, FNP-C

Contact information

Practice address
938 N BRIGHTLEAF BLVD, SMITHFIELD, NC 27577-4331
(919) 235-1525
Mailing address
PO BOX 803854, KANSAS CITY, MO 64180-3854
(919) 350-0351
(919) 350-7687

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5011850
NC
363LF0000X
Family Nurse Practitioner
Primary
5011850
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790342335
NC
Enumeration date
05/20/2019
Last updated
02/26/2026
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