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JARVIS ETHAN PENNINGTON
NPI 1023954716
Student in an Organized Health Care Education/Training Program in Bristol, TN

Active since April 27, 2026
208 MEDICAL PARK BLVD, BRISTOL, TN 37620(423) 989-4050(423) 990-3044 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jarvis Ethan Pennington NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARVIS ETHAN PENNINGTON (NPI 1023954716) is an individual student in an organized health care education/training program in Bristol, Tennessee and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1023954716
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJARVIS ETHAN PENNINGTON
Location Address208 MEDICAL PARK BLVDBristol, TN 37620-7343
Mailing Address208 Medical Park BlvdBristol, TN 37620-7343 · (423) 989-4050 · Fax (423) 990-3044
Phone(423) 989-4050
Fax(423) 990-3044
Sole ProprietorNo
Enumeration DateApril 27, 2026
NPPES CertifiedApril 26, 2026
✔ NPI 1023954716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
208 MEDICAL PARK BLVD, Bristol, TN 37620
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MATTHEW RAYESKI
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
MADELINE GRACE SHIPLEY
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
ANDREA LYNNE HOPKINS M.D.
Family Medicine
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
ROMANY AINGEAL NIGHTINGALE
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
HANNAH BAKER DO
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
HANNAH KELLER MD
Student in an Organized Health Care Education/Training Program
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 984-4050
BRANDI KAY DAHL PHARMD
Pharmacist
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050
CHRISTOPHER GARNER M.D.
Family Medicine
208 MEDICAL PARK BLVD
BRISTOL, TN 37620
Sullivan County (423) 989-4050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jarvis Pennington's NPI number?

The NPI number for Jarvis Pennington is 1023954716. It was assigned to this individual provider in the NPPES registry on April 27, 2026.

Where is Jarvis Pennington located?

Jarvis Pennington practices at 208 Medical Park Blvd, Bristol, TN 37620. The listed phone number is (423) 989-4050.

What is Jarvis Pennington's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jarvis Pennington was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.