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General NPI Number Information
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NPI Number | 1124978101
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Entity Type | Individual
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Provider Name | MELISSA KAY PENNINGTON FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 02/13/2026
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Provider Practice Location Address
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Address Line | 181 MILL ST
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City | LYNNVILLE
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State | TN
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Zip | 38472-3112
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Country | US
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Telephone | 931-347-4971
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Fax |
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Provider Business Mailing Address
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Address Line | 486 COUNTRYSIDE DR
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City | LORETTO
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State | TN
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Zip | 38469-2573
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Country | US
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Telephone | 931-242-5169
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 41040
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 192456
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License Number State | TN
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