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Penny Lingerfelt Hennessee

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

16645 Birkdale Commons Pkwy, Ste 100, Huntersville, NC 28078-5669

PECOS Enrollment

This provider is enrolled in PECOS as PENNY HENNESSEE.

Based on the most recent information from CMS, provider Penny Lingerfelt Hennessee is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:49 AM.

Profile Details

Provider ID
1407207012
Provider Type
Individual
Full Name
Hennessee, Penny Lingerfelt
Credential
FNP

Gender
Female
Sole Proprietor
No
Enumeration Date
6/24/2016
Last Updated
7/15/2024

Contact Information

Practice Location

16645 Birkdale Commons Pkwy, Ste 100, Huntersville, NC 28078-5669

(704) 801-7390

Unlisted Fax

Mailing Location

PO Box 19305, Charlotte, NC 28219-9305

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5008628 North Carolina
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 5008628 North Carolina

Penny Lingerfelt Hennessee

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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Conway, Rebecca