PEGGY M. MCCONNELL GNP
NPI 1619904307
Nurse Practitioner - Gerontology in Johnson City, TN

Active since June 27, 2006
207 E MYRTLE AVE, JOHNSON CITY, TN 37601(423) 926-2500(423) 926-5999 Get Directions Write a Review

NPPES record last updated: January 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Peggy M. Mcconnell Gnp NPPES

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

PEGGY M. MCCONNELL GNP (NPI 1619904307) is an individual gerontology provider in Johnson City, Tennessee, licensed in Tennessee (APN005102) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1619904307
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NamePEGGY M. MCCONNELLCredential: GNP
Location Address207 E MYRTLE AVEJohnson City, TN 37601-4633
Mailing AddressPo Box 70403Johnson City, TN 37614-1703 · (423) 439-4078 · Fax (423) 439-4060
Fax(423) 926-5999
Sole ProprietorNo
Enumeration DateJune 27, 2006
Last NPPES UpdateJanuary 23, 2008
NPI 1619904307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in TN · APN005102
207 E MYRTLE AVE, Johnson City, TN 37601

Other Identifiers 6

Medicare UPINPO8313TN
Medicare PIN3903664TN
Other100049918TN · Php
Other4102133TN · Bluecrossblueshield
Medicaid3903661TN
OtherTN01E4TN · John Deere

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Gerontology)
207 E MYRTLE AVE
JOHNSON CITY, TN 37601
Nurse Practitioner (Family)
207 E MYRTLE AVE
JOHNSON CITY, TN 37601
Nurse Practitioner (Family)
207 E MYRTLE AVE
JOHNSON CITY, TN 37601
Nurse Practitioner (Family)
207 E MYRTLE AVE
JOHNSON CITY, TN 37601

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 Peggy Mcconnell's NPI number?

The NPI number for Peggy Mcconnell is 1619904307. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Peggy Mcconnell located?

Peggy Mcconnell practices at 207 E Myrtle Ave, Johnson City, TN 37601. The listed phone number is (423) 926-2500.

What is Peggy Mcconnell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Peggy Mcconnell was last updated on January 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.