# JESSICA A. PENNINGTON

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pennington Family Practice PLLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053366534
- **Authorized official:** JESSICA ABNEY PENNINGTON MD (PRESIDENT)
- **Authorized official phone:** (859) 625-5018

## Contact information

- **Practice address:** 793 EASTERN BYPASS, SUITE 213, RICHMOND, KY 40475
- **Practice address phone:** (859) 625-5018
- **Practice address fax:** (859) 625-5539
- **Mailing address:** 793 EASTERN BYPASS, SUITE 213, RICHMOND, KY 40475
- **Mailing address phone:** (859) 625-5018
- **Mailing address fax:** (859) 625-5539

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 05/23/2006
- **Last updated:** 06/08/2010
