Individual
MRS. PENNY LANE FINCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
502 JACKSON ST, SUITE 5, ABERDEEN, MS 39730-3300
(662) 369-9525
(662) 304-4002
Mailing address
PO BOX 1100, MAGEE, MS 39111-1100
(601) 849-1682
(601) 849-5179
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R713562
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09083707
—
MS
Enumeration date
01/23/2008
Last updated
11/20/2009
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