SHANNAN PENNINGTON FNP-BC NPI 1134995566

NPI Information

  • NPI: 1134995566
  • Provider Name: SHANNAN PENNINGTON, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 160 KIMEL FOREST DR STE 250
    WINSTON SALEM, NC
    ZIP 27103
  • Phone: (888) 830-1050

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NPI Details

Shannan Pennington, FNP-BC is a family nurse practitioner in Winston Salem, NC. Shannan Pennington, FNP-BC NPI is 1134995566. 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:

160 KIMEL FOREST DR STE 250
WINSTON SALEM, NC
ZIP 27103-144
Phone: (888) 830-1050

The enumeration date for this NPI number is 11/27/2023 and was last updated on 11/27/2023.

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
1363LF0000XNurse PractitionerFamily292826NORTH CAROLINAYes

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: 11/21/2025

NPI Synchronization or Removal

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