| Doctor Name: | MS. NANCY JAMISON PECKENPAUGH |
| NPI Number: | 1063535391 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSED RD CDN CDE |
| License Number: | 09224400 |
| Business Practice Address: | 1216 Trumansburg Road Ithaca, NY - 148501314 |
| Business Phone Number: | 6072721297 |
| Business Fax Number: | 6072722366 |
| Mailing Address: | 1216 Trumansburg Road, ITHACA |
| State: | NY |
| Postal Code: | 148501314 |
| Phone Number: | 6072721297 |
| Fax Number: | 6072722366 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 12/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WD0400X |
| License Number: | 09224400 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Diabetes Educator |
| Taxonomy Definition: | |