NPI

Reggie Darnell Pennypacker

NPI 1275960304

Read from the NPPES registry on October 26, 2026.

Facts

Status
Active
Credential
APRN-CNP
Type
Individual
Enumeration date
2013-10-03
Last updated
2024-09-13

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Specialties

Licenses

License OK
76980

Location

Practice location
3125 Brookwood Ave
City
Duncan OK
Postal code
73533-1362
Phone
(580) 786-4018
Fax
(580) 786-4021

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Family Nurse Practitioners in Duncan, OK. 28 with this primary taxonomy in the public file.

Other NPIs in Duncan, OK. 562 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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