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Contact Information

VICKI R PENNINGTON, ARNP, AGNP-C
1908 CAUDLE DR STE 105
MOUNT AIRY, NC27030-4322
 Phone: 336-883-0029
 Fax: 336-756-7903
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for VICKI R PENNINGTON · (Female)

NPI # 1417652538
Status Active
Credentials ARNP, AGNP-C
Entity Individual
Enumeration date 03/31/2023
Last updated 08/12/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • NC License # 000001
Hospital affiliation(s) Not Available
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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