Organization
PROVIDENCE PEDIATRICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN KAY PENNYPACKER FNP-C (OWNER)
(423) 477-2042
Entity
Organization
Contact information
Practice address
140 OLD GRAY STATION ROAD, SUITE 200, GRAY, TN 37615-3612
(423) 477-2042
(423) 477-4571
Mailing address
140 OLD GRAY STATION ROAD, SUITE 200, GRAY, TN 37615-3612
(423) 477-2042
(423) 477-4571
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6966
TN
Other
Enumeration date
08/14/2014
Last updated
08/14/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us