Individual
MRS. NIKOLE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1225 E COOLSPRING AVE, MICHIGAN CITY, IN 46360-6312
(219) 874-5020
Mailing address
193 W GREENLAWN DR, LA PORTE, IN 46350-8046
(219) 851-0742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71007753A
IN
Other
Enumeration date
01/26/2018
Last updated
09/16/2020
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