# JENNIFER JOHANNA PENNE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1497968101
- **Gender:** F
- **Credential:** APN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | R 72401 | AR | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 2021008266 | MO | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | A003632 | AR | Yes |

## Other

- **Enumeration date:** 05/08/2007
- **Last updated:** 09/19/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 193306758 | — | AR |
| 05 | — | 420094195 | — | MO |