Individual provider · Type 1 NPI

Jody Lynn Pennycook, PA

Medical Physician Assistant · Santa Rosa, CA

NPI number 1255696910 Active

About NPI 1255696910

Jody Lynn Pennycook, PA's National Provider Identifier is 1255696910, issued on Jul 9, 2012. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Santa Rosa, CA. The record was last updated on Jul 9, 2012.