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1134995566
SHANNAN PENNINGTON
WINSTON SALEM, NC
NPI
1134995566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: NC 292826)
Enumeration Date
2023-11-27
Last Update Date
2023-11-27
Business Address
SHANNAN PENNINGTON FNP-BC
160 KIMEL FOREST DR STE 250
WINSTON SALEM, NC 27103-6144
Phone number: 888-830-1050
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Mailing Address
SHANNAN PENNINGTON FNP-BC
4029 LOFTER CT
PFAFFTOWN, NC 27040-9700
Phone number: 336-686-6434
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