Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE PENNOCK, IDMT
ActiveNICOLE PENNOCK, IDMT is a Independent Duty Medical Technician healthcare provider located in MCGUIRE AFB, New Jersey. NPI 1508000225 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Medical Technician · MCGUIRE AFB, NJ
Registration Details
- NPI Number
- 1508000225
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2009 (17.125047103085 yrs)
- Last Updated
- Apr 24, 2009
Practice Information
- Address
-
3458 NEELY RDMCGUIRE AFB, NJ, 08641Browse NJ providers · Browse ZIP 08641
- Phone
- 6097549080
- Primary Specialty
-
Independent Duty Medical Technician
1710I1003X
Other Independent Duty Medical Technician Providers in MCGUIRE AFB, NJ
| Name | Credential | NPI |
|---|---|---|
| MS. KIMBERLEY DAWN BOCK TABOR | IDMT | 1659505030 |
| SARAH JANE LANEY | IDMT | 1790912467 |
| MICHAEL JOSEPH STEINER | IDMT | 1538399068 |
| MR. GARY ALAN FRIEDMAN | IDMT | 1114259876 |
| JAMAL HOGAN SR. | IDMT | 1306263108 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.