Mcconnell, Peggy M.

Mcconnell, Peggy M. is an individual health care provider with primary practice located at 207 E Myrtle Ave , Johnson City TN 37601-4633. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mcconnell, Peggy M. can be contacted via phone (423) 926-2500.

Contact Information

Primary practice address
207 E Myrtle Ave Johnson City TN 37601-4633
Phone: (423) 926-2500
Fax: (423) 926-5999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APN005102 Tennessee

Profile Details

NPI number 1619904307
LBN Legal business name Mcconnell, Peggy M.
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated Jan 23rd, 2008 - about 17 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 1619904307 NPPES
Tennessee Other 100049918 PHP
Tennessee Other 4102133 PHP
Tennessee Other TN01E4 PHP
Tennessee MEDICAID 3903661 PHP

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