ROBERT C. PENNEBAKER PLLC NPI 1144657677

NPI Information

NPI: 1144657677
Provider Name: ROBERT C. PENNEBAKER PLLC

Doing Business As: CUMBERLAND BEHAVIORAL CARE

Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
2931 BREEZEWOOD AVE STE 104
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 491-1134
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ROBERT C. PENNEBAKER PLLC is a psychiatric/mental health nurse practitioner in Fayetteville, NC. ROBERT C. PENNEBAKER PLLC NPI is 1144657677. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cumberland Behavioral Care.

The provider's business location address is:

2931 BREEZEWOOD AVE STE 104
FAYETTEVILLE, NC
ZIP 28303-281
Phone: (910) 491-1134
Fax: (910) 491-1332

The provider's authorized official is Robert Christopher Pennebaker .
The authorized official title is President and has the following contact phone number (910) 977-1396.

The CLIA number assigned to this NPI record is 34D2113188 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/30/2013 and was last updated on 11/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	C002032	NORTH CAROLINA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5005524	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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