Fanning, Penny

Fanning, Penny is an individual health care provider with primary practice located at 2910 Tricom St Ste 100 , North Charleston SC 29406-9351. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fanning, Penny can be contacted via phone (843) 572-9211.

Contact Information

Primary practice address
2910 Tricom St Ste 100 North Charleston SC 29406-9351
Phone: (843) 572-9211
Fax: (843) 572-0457
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 22420 South Carolina

Profile Details

NPI number 1912566365
LBN Legal business name Fanning, Penny
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2019
Last updated Oct 1st, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912566365 NPPES
South Carolina MEDICAID NP6107

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