Individual
JEFFREY PENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8290 OLD TROY PIKE STE 40A, HUBER HEIGHTS, OH 45424
(937) 208-4100
(937) 208-4107
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.020093
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2016
Last updated
06/20/2018
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