# JULIA ELIZABETH PENNINGTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114188281
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 3005977 | KY | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5977P | KY | — |

## Other

- **Enumeration date:** 06/22/2008
- **Last updated:** 09/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000613676 | ANTHEM PIN | — |
| 01 | — | 3005977 | APRN LICENSE | KY |
| 01 | — | 636310 | VALUEOPTIONS | — |