Individual provider · Type 1 NPI

Emma Eleanor Taylor Pennock, PA-C

Physician Assistant · Boston, MA

NPI number 1053872895 Active

Practice location

60 Fenwood Rd
Boston, MA 02115

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541

Other practice locations

  • 55 Fogg Rd, Weymouth, MA 02190-2432 · (781) 624-8000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA01343 (RI)
Physician Assistant 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053872895

Emma Eleanor Taylor Pennock, PA-C's National Provider Identifier is 1053872895, issued on Mar 26, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Boston, MA. The record was last updated on Jan 30, 2024.