Individual
WILLIAM NICHOLAS PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
400 HOSPITAL RD, STARKVILLE, MS 39759
(662) 323-4320
Mailing address
193 CEDAR POINTE DR, CALEDONIA, MS 39740-8648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
902375
MS
Other
Enumeration date
10/18/2017
Last updated
08/07/2018
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