Penny Broadrick , LPN
Licensed Practical Nurse • Ringgold, GA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Penny Broadrick has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Penny Broadrick, LPN was a registered Licensed Practical Nurse practicing in Ringgold, GA. Throughout an active medical career spanning 7 years, Penny Broadrick provided care at the practice location at 4083 CLOUD SPRINGS RD until profile deactivation on 2023-02-22.
Practice Location & Contact Primary Location
4083 Cloud Springs Rd
Ringgold, GA 307368411
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Ringgold, GA
Practicing in Ringgold, GA (1401 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Registered Nurse
Licensed Practical Nurse
Licensed Practical Nurse
Counselor - Addiction (Substance Use Disorder)
Licensed Practical Nurse
Counselor - Addiction (Substance Use Disorder)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 22, 2023
NPI status registered as active in NPPES database
Registered at 4083 CLOUD SPRINGS RD, RINGGOLD, GA 307368411 (Tel: 7068206087)
Registered at 4083 CLOUD SPRINGS RD, RINGGOLD, GA 307368411 (Tel: 7068206087)
Recorded as PENNY BROADRICK, LPN
Licensed Practical Nurse (License #LPN091264 in GA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
4083 Cloud Springs Rd
Ringgold, GA 307368411
Phone: 7068206087
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