Provider Demographics
NPI:1497297493
Name:PENNINGTON, NATALINE EVELYN (CRNP)
Entity Type:Individual
Prefix:
First Name:NATALINE
Middle Name:EVELYN
Last Name:PENNINGTON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:30 BURTON HILLS BLVD
Mailing Address - Street 2:STE 175
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-6403
Mailing Address - Country:US
Mailing Address - Phone:615-988-2014
Mailing Address - Fax:615-208-1303
Practice Address - Street 1:13150 HIGHWAY 43
Practice Address - Street 2:SUITE 10
Practice Address - City:RUSSELLVILLE
Practice Address - State:AL
Practice Address - Zip Code:35653-4558
Practice Address - Country:US
Practice Address - Phone:256-331-2092
Practice Address - Fax:256-331-2096
Is Sole Proprietor?:No
Enumeration Date:2016-11-08
Last Update Date:2019-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AL1-097105363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily