Individual provider · Type 1 NPI
Pennica Marie Mumford, BSN, MSN, RN
General Practice Registered Nurse · Savannah, GA
NPI number
1205394822
Active
Practice location
1395 Eisenhower Dr
Savannah, GA 31406-3901
Fax (912) 721-0121
Mailing address
4113 Fenwick Village Dr
Savannah, GA 31419-5513
Other practice locations
- 4113 Fenwick Village Dr, Savannah, GA 31419-5513 · (912) 844-6497
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse | 163WA2000X | RN168735 (GA) |
| Case Management Registered Nurse | 163WC0400X | RN168735 (GA) |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | RN168735 (GA) |
| Gerontology Registered Nurse | 163WG0600X | RN168735 (GA) |
| Infusion Therapy Registered Nurse | 163WI0500X | RN168735 (GA) |
| Nutrition Support Registered Nurse | 163WN1003X | RN168735 (GA) |
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | RN168735 (GA) |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | RN168735 (GA) |
| Wound Care Registered Nurse | 163WW0000X | RN168735 (GA) |
| General Practice Registered Nurse Primary | 163WG0000X | RN168735 (GA) |
General Practice Registered Nurse: Definition to come...
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About NPI 1205394822
Pennica Marie Mumford, BSN, MSN, RN's National Provider Identifier is 1205394822, issued on Mar 4, 2019. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Savannah, GA. The record was last updated on Mar 4, 2019.