NPI 1346891058

Pennye Sheridan

Practitioner Licensed Practical Nurse Tyler, TX

Practice location

Address: 755 S Beckham Ave, Tyler, TX 75701-1903
Phone: (903) 534-4684

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 92416 (TX)

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Registry record

NPI: 1346891058
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Sep 2019
Record last updated: 24 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.