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Contact Information

PENNI C CANNADY, ANP
350 E PARKVIEW ST
DYERSBURG, TN38024
 Phone: 731-334-5312
 Fax: 731-334-5311
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PENNI C CANNADY · (Female)

NPI # 1265677686
Status Active
Credentials ANP (Adult Nurse Practitioner)
Entity Individual
Enumeration date 12/15/2008
Last updated 09/28/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 0000013828
  • TN License # 13828
  • TN Medicaid Q002946
Hospital affiliation(s)
  • DYERSBURG REGIONAL MEDICAL CENTER - (Acute Care)
    400 TICKLE ST
    DYERSBURG, TN 38024
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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