Cannady, Penni Carol

Cannady, Penni Carol is an individual health care provider with primary practice located at 350 E Parkview St , Dyersburg TN 38024. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Cannady, Penni Carol can be contacted via phone (731) 334-5312.

Contact Information

Primary practice address
350 E Parkview St Dyersburg TN 38024
Phone: (731) 334-5312
Fax: (731) 334-5311
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 13828 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0000013828 Tennessee

Profile Details

NPI number 1265677686
LBN Legal business name Cannady, Penni Carol
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2008
Last updated Sep 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265677686 NPPES
Tennessee MEDICAID Q002946

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