Manning, Penny G

Manning, Penny G is an individual health care provider with primary practice located at 320 8Th St , Newport TN 37821-3902. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Manning, Penny G can be contacted via phone (423) 623-4893.

Contact Information

Primary practice address
320 8Th St Newport TN 37821-3902
Phone: (423) 623-4893
Fax: (865) 225-2187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APN6077 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN6077 Tennessee

Profile Details

NPI number 1174565840
LBN Legal business name Manning, Penny G
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2006
Last updated Oct 31st, 2013 - about 11 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 1174565840 NPPES
Tennessee MEDICAID 3346815
Tennessee Other 500028562

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