Individual
TODD PENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 326-3850
(828) 326-2466
Mailing address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 326-3850
(828) 326-2466
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201603
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000439
—
NC
Enumeration date
05/18/2006
Last updated
11/29/2023
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