Individual
JESSICA YVETTE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 12TH ST, COLUMBUS, GA 31901-2523
(229) 591-5834
Mailing address
421 12TH ST, COLUMBUS, GA 31901-2523
(229) 591-5834
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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