Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ROBERT PENNEBAKER, PMHNP-BC, LCSW
Active Sole ProprietorROBERT PENNEBAKER, PMHNP-BC, LCSW is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1609957505 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · FAYETTEVILLE, NC
Registration Details
- NPI Number
- 1609957505
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2006 (19.782399711044 yrs)
- Last Updated
- Sep 24, 2020
- Licenses
-
C002032 (NC)5005524 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2931 BREEZEWOOD AVE STE 104FAYETTEVILLE, NC, 283035281Browse NC providers · Browse ZIP 28303
- Phone
- 9104911134
- Fax
- 9104919781
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in FAYETTEVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MS. MARGARET JEAN DAVIS | FNP-BC | 1053313536 |
| KATHLEEN KELLY CARROLL | M.S., M.A., APRN-BC | 1376674010 |
| MS. PAMELA LYNN HERBIG WALL | PMHNP | 1033386446 |
| DR. ADRIAN NICOLE LENNON | PSYCHIATRIC NP | 1013225697 |
| CASEY J SCOTT | APRN | 1417206491 |
| STEPHEN DAVID JONES | NP | 1720322688 |
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.