Evelynn Marie Pennington
Nurse Practitioner - Primary Care
6439 Garners Ferry Rd
Columbia
, South Carolina 29209-1638
Evelynn Marie Pennington
Nurse Practitioner - Primary Care
6439 Garners Ferry Rd
Columbia
, South Carolina 29209-1638
(803) 983-0099
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Evelynn Marie Pennington
- 3170 Tuckaway Dr
- Sumter, SC
- Zip : 29154-8048
- Phone : (803) 983-0099
Second Address
- Evelynn Marie Pennington
- 6439 Garners Ferry Rd
- Columbia, SC
- Zip : 29209-1638
- Phone : (803) 776-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | 23307 | SC |
National Provider Identifier
| NPI | 1053952457 |
|---|---|
| Provider Name | Evelynn Marie Pennington |
| First Address | Sumter, SC 29154-8048 |
| Second Address | Columbia, SC 29209-1638 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/10/2019 |
| Last Update Date | 07/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.