Adult TPN / PEN Service

Welcome to the home page for Adult Parenteral Nutrition (PEN) Service at the University of North Carolina Health Care System! The Adult Parenteral Nutrition Service or "PEN Service" is an interdisciplinary service that assists with any aspect of nutrition and metabolic management of patients who may need parenteral nutrition (TPN). The service is staffed by a dietitian, a nurse, a pharmacist and physicians.

A member of the service is available 24-hours a day to provide consultation.  Page through the hospital web directory under “Search for On-call Schedule” and choose “Adult TPN/PEN Service” to see who is on day or night call.

PEN Service Team Members

Nutrition Support Dietitian:            Francine Hsu, RD, CNSD; pager 123-2414

Nutrition Support Pharmacist:       Beverly Holcombe, PharmD, BCNSP; pager 216-1595

Physicians:                                 Mark Koruda, MD; pager 216-0446,

                                                  William Heizer, MD; pager 123-4800

For technical questions, contact the ISD Customer Support Center at (919) 966-5647.

The Nutrition Support Nurse is also a resource for central venous access device problems, questions or procedures and acts as discharge planner for adult home TPN patients.