Individual
MRS. BRENDA KAY PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2225 HIGHWAY 45 N, COLUMBUS, MS 39705-1742
(662) 245-5286
Mailing address
2225 HIGHWAY 45 N, COLUMBUS, MS 39705-1742
(662) 245-5286
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R840052
MS
363L00000X
Nurse Practitioner
Primary
840052
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508851486
—
MS
Enumeration date
10/31/2012
Last updated
06/30/2026
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