Individual
MRS. JANICE N PENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
806-B RIVERSIDE DRIVE, FRANKLINTON, LA 70438-3688
(985) 839-3555
(985) 839-6320
Mailing address
1900 MAIN ST, FRANKLINTON, LA 70438-3688
(985) 839-3555
(985) 839-6320
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06668
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2346440
—
LA
01
—
315167YR4B
MEDICARE PROVIDER NUMBER
—
Enumeration date
07/02/2012
Last updated
03/03/2017
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