Individual
KRISTIN PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0646
Mailing address
PO BOX 100108, GAINESVILLE, FL 32610-0108
(352) 273-5670
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11010472
FL
363L00000X
Nurse Practitioner
Primary
APRN11010472
FL
Other
Enumeration date
12/04/2020
Last updated
01/11/2021
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