Individual
MS. ALLISON LANE PENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5000 ODONAVAN BLVD STE 404, WALKER, LA 70785-6355
(225) 369-8100
(225) 369-8140
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 369-8100
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AP234914
LA
363LF0000X
Family Nurse Practitioner
Primary
234914
LA
Other
Enumeration date
08/12/2024
Last updated
12/31/2024
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