Individual
JENNIFER JOHANNA PENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2566 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4553
(479) 935-1000
(479) 935-2000
Mailing address
2566 E JOYCE BLVD, FAYETTEVILLE, AR 72703-4553
(479) 935-1000
(479) 935-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 72401
AR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2021008266
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A003632
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193306758
—
AR
05
—
420094195
—
MO
Enumeration date
05/08/2007
Last updated
09/19/2022
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