Individual
MRS. JULIE A PENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1308 N GLENSTONE, SPRINGFIELD, MO 65802
(417) 864-4100
(417) 863-8697
Mailing address
2320 E SOUTHVIEW, OZARK, MO 65721
(417) 889-0181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
118271
MO
Other
Enumeration date
08/01/2006
Last updated
09/27/2007
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