Pennington, Connie Jo

Pennington, Connie Jo is an individual health care provider with primary practice located at 800 S Gay St Ste 100 , Knoxville TN 37929-4040. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Pennington, Connie Jo can be contacted via phone (423) 534-9029.

Contact Information

Primary practice address
800 S Gay St Ste 100 Knoxville TN 37929-4040
Phone: (423) 534-9029
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 30358 Tennessee
Other Service Providers / Specialist 174400000X MD0000030358 Tennessee

Profile Details

NPI number 1790783330
LBN Legal business name Pennington, Connie Jo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Feb 12th, 2026 - about 9 months ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790783330 NPPES
Tennessee MEDICAID 3875906
Tennessee MEDICAID 3370584

Popular Providers