Provider Demographics
NPI:1568991305
Name:SCHUH, PENNIE H (FNP-C)
Entity Type:Individual
Prefix:
First Name:PENNIE
Middle Name:H
Last Name:SCHUH
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 LANCASTER RD SW
Mailing Address - Street 2:
Mailing Address - City:ADAIRSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30103
Mailing Address - Country:US
Mailing Address - Phone:1678-986-1502
Mailing Address - Fax:
Practice Address - Street 1:321-A NORTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:ADAIRSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30103-3010
Practice Address - Country:US
Practice Address - Phone:770-773-9902
Practice Address - Fax:770-773-9902
Is Sole Proprietor?:No
Enumeration Date:2017-06-06
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN210131363L00000X
AK123127363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
F06161581OtherAMERICAN ACADEMY OF NURSE PRACTITONERS