Individual
JENNIFER T PENICHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12600 PEMBROKE RD, SUITE 312, MIRAMAR, FL 33027-2544
(954) 431-7681
(954) 431-7682
Mailing address
15476 NW 77TH CT, #609, MIAMI LAKES, FL 33016-5823
(786) 303-7458
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9328086
FL
363LF0000X
Family Nurse Practitioner
ARNP9328086
FL
Other
Enumeration date
09/30/2015
Last updated
12/23/2015
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