Individual
SONJA PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2372 US-49E UNIT 240, SUMNER, MS 38957
(662) 375-9310
(662) 375-9311
Mailing address
PO BOX 115, SUMNER, MS 38957-0115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
901711
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00176836
—
MS
05
—
00721224
—
MS
Enumeration date
01/10/2017
Last updated
05/07/2020
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