PENNY WILLIAMS-CORDEIRO


Address: 1901 Brookside Drive, Suite 105, Kingsport, TN 37760
Phone: 4233842820

PENNY WILLIAMS-CORDEIRO (NPI# 1124422266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124422266
Entity Type Individual
Full Name PENNY WILLIAMS-CORDEIRO
Credential M.S.N, A.P.N., F.N.P
Practice Address 1901 Brookside Drive
Suite 105
Kingsport
TN 37760
Practice Telephone 4233842820
Practice Fax Number 8654440789
Mailing Telephone 4233842820
Mailing Fax Number 8654440789
Enumeration Date 2014-10-17
Last Update Date 2017-10-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
18066 TN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1901 BROOKSIDE DRIVE
SUITE 105
City KINGSPORT
State TN
Zip Code 37760

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699235929 Emmley L Cole Nurse Practitioner 277 E W Broadway Blvd, Jefferson, TN 37760 2019-03-22
1275044877 Cindy Anderson Nurse Practitioner 277 E Broadway Blvd, Jefferson City, TN 37760 2017-10-23
1801259940 Mcfarland Group, Inc. Durable Medical Equipment & Medical Supplies 665 E Broadway Blvd, Jefferson City, TN 37760 2016-04-04
1215363841 Lindsey Ann Clyde Physician Assistant 120 Hospital Dr Ste 130, Jefferson City, TN 37760 2013-09-14
1679849814 Allison Renee Farris Surgery 120 Hospital Dr Ste G20, Jefferson City, TN 37760 2012-03-31
1245562891 Steven Jarvis Monroe Dentist 156 W. Broadway Blvd., Jefferson City, TN 37760 2010-02-08
1952560625 Summit Medical Group,pllc Internal Medicine 380 W Broadway Blvd, Jefferson City, TN 37760 2008-06-06
1780756189 Steven J Monroe Dds PC Dentist 156 W Broadway Blvd, Jefferson City, TN 37760 2006-11-14
1720188600 Dennis U Spjut Psychologist 732 E Jefferson St, Dennis Spjut Phd, Jefferson City, TN 37760 2006-09-22
1326001207 Misty Depriest Hudgins Specialist/Technologist 2130 S Branner Avenue, Cn Box 72030 -, Jefferson City, TN 37760 2006-04-11
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750911202 Felicia Grace Berry Nurse Practitioner 2204 Pavilion Dr Ste 210, Kingsport, TN 37660-4652 2020-01-23
1205399508 Michael David Thacker Nurse Practitioner 100 Clinchfield St, Kingsport, TN 37660-3681 2019-04-12
1871058263 Lisa Marie Ketchem Nurse Practitioner 5039 Andrew St, Kingsport, TN 37660-6500 2019-02-10
1972067395 Alice Victoria Lilly Nurse Practitioner 2995 Ft. Henry Drive, Suite 100, Kingsport, TN 37664 2019-01-30
1720542376 Amanda Michelle Oliver Nurse Practitioner 404 Manor Dr Apt F, Kingsport, TN 37660-3471 2019-01-29
1750857439 Ashlee Fleming Nurse Practitioner 105 W Stone Dr Ste 4c, Kingsport, TN 37660-3365 2018-10-19
1497220214 Melanie Creppel Bourgeois Nurse Practitioner 4606 Sundown Dr, Kingsport, TN 37664-6913 2018-10-08
1013493147 Cathy A Greenwood Nurse Practitioner 3136 Winesap Rd, Kingsport, TN 37663-2920 2018-07-11
1871095315 Macie Anderson Nurse Practitioner 411 Clay St, Kingsport, TN 37660 2018-03-01
1235641630 Bethany Monique Rock Nurse Practitioner 3716 Thorngrove Dr, Kingsport, TN 37660-2243 2017-10-26
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Competitor

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City KINGSPORT
Zip Code 37760

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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