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Contact Information

REGGIE D PENNYPACKER, APRN-CNP
3125 BROOKWOOD AVE
DUNCAN, OK73533-1362
 Phone: 580-786-4018
 Fax: 580-786-4021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for REGGIE D PENNYPACKER · (Male)

NPI Number 1275960304
Status Active
Credentials APRN-CNP
Entity Individual
Enumeration date 10/03/2013
Last updated 09/13/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OK License # 76980
Hospital affiliation(s)
  • DUNCAN REGIONAL HOSPITAL INC - (Acute Care)
    1407 WHISENANT DRIVE
    DUNCAN, OK 73533
  • JEFFERSON COUNTY HOSPITAL - (Critical Access)
    INTERSECTION HYWS 81 & 70
    WAURIKA, OK 73573
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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