MRS. NEKAYEH PENNINGTON CAROTHERS FNP NPI 1134455850

NPI Information

NPI: 1134455850
Provider Name: MRS. NEKAYEH PENNINGTON CAROTHERS, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
616 W FOREST AVE
JACKSON, TN
ZIP 38301
Phone: (731) 422-0408
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MRS. Nekayeh Pennington Carothers, FNP is a family nurse practitioner in Jackson, TN. MRS. Nekayeh Pennington Carothers, FNP NPI is 1134455850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

616 W FOREST AVE
JACKSON, TN
ZIP 38301-902
Phone: (731) 422-0408
Fax: (731) 422-0486

The NPI 1134455850 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 10/30/2009 and was last updated on 11/29/2012.

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	363LF0000X	Nurse Practitioner	Family	APN13822	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	P00844591	MEDICARE PIN	TENNESSEE
2	1517020	MEDICAID	TENNESSEE
3	103I50005	MEDICARE PIN	TENNESSEE

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

NPI Synchronization or Removal

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