MEDICARE: DR. PENELOPE LYNN VACHON DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP2300X	Primary Care Nurse Practitioner	4436	SC

General Provider Information

NPI Number	:	1326342239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PENELOPE LYNN VACHON DNP

Provider Business Mailing Address
First Line	:	1565 SAM RITTENBERG BLVD STE 201
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4138
Country	:	US
Telephone Number	:	843-793-1353
Fax Number	:	843-818-4172

Provider Business Practice Location Address
First Line	:	1565 SAM RITTENBERG BLVD STE 201
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29407-4138
Country	:	US
Telephone Number	:	843-793-1353
Fax Number	:	843-818-4172

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2011
Last Update Date	:	07/28/2025

Similar Medicare Providers

1609427491 — SYDNEY MARIE REINERT BA, MS, LPC
Practice Location Address:

1565 SAM RITTENBERG BLVD STE 202B
CHARLESTON, SC
29407-4138

Practice Phone: 843-256-3371
Practice Fax:

1073592937 — INFECTIOUS DISEASES CONSULTANTS & TRAVEL MEDICINE
Practice Location Address:

1565 SAM RITTENBERG BLVD , STE 200
CHARLESTON, SC
29407-4138

Practice Phone: 843-763-6336
Practice Fax: 843-571-6194

1194950717 — MR. THOMAS R BAKER HIS
Practice Location Address:

1565 SAM RITTENBERG BLVD , SUITE 100
CHARLESTON, SC
29407-4138

Practice Phone: 843-571-0744
Practice Fax: 843-571-0743

1639604929 — LOWCOUNTRY WELLNESS CENTER LLC
Practice Location Address:

1565 SAM RITTENBERG BLVD STE 201
CHARLESTON, SC
29407-4138

Practice Phone: 843-793-1353
Practice Fax: 843-818-4172

1669968392 — MRS. LYNNE ALISON BAKER HIS
Practice Location Address:

1565 SAM RITTENBERG BLVD
CHARLESTON, SC
29407-4138

Practice Phone: 843-571-0744
Practice Fax:

1568033074 — TIFFANY CRYSTAL REESE MS, LPC
Practice Location Address:

1565 SAM RITTENBERG BLVD # 202B
CHARLESTON, SC
29407-4138

Practice Phone: 843-284-6423
Practice Fax:

Directions to “ DR. PENELOPE LYNN VACHON DNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.