Individual
AMY MICHELLE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
686 LESTER ST, POPLAR BLUFF, MO 63901-5025
(573) 686-2411
(573) 778-7271
Mailing address
PO BOX 801143, KANSAS CITY, MO 64180-1143
(573) 331-5583
(573) 331-5079
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2002003047
MO
363LF0000X
Family Nurse Practitioner
Primary
2011006223
MO
Other
Enumeration date
02/09/2011
Last updated
03/04/2021
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