Individual
JESSICA NICHOLE PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
280 LOONEY RD STE 203, PIQUA, OH 45356-4149
(937) 440-8687
Mailing address
2925 LITTLE YORK RD, DAYTON, OH 45414-1637
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.0034875
OH
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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