Individual
JENNIFER PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14 CR 4334, BIVINS, TX 75555
(430) 342-5245
Mailing address
PO BOX 53, BIVINS, TX 75555-0053
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
198634
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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