Individual
MEREDITH PENNINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
3020 MERCER UNIVERSITY DR STE 100, ATLANTA, GA 30341-4145
(770) 458-3383
Mailing address
12460 CRABAPPLE RD # 202-277, ALPHARETTA, GA 30004-6602
(727) 688-3138
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
APRN11011883
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
RN302421
GA
Other
Enumeration date
03/01/2021
Last updated
03/14/2022
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