Individual provider · Type 1 NPI
Misty Dawn Pennington, APRN, FNP-BC
Family Nurse Practitioner · Daytona Beach, FL
NPI number
1447831730
Active
Practice location
311 North Clyde Morris Blvd Suite 320
Daytona Beach, FL 32114
Fax (386) 255-3723
Mailing address
725 Freda Ln
Port Orange, FL 32127-5931
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APRN11011414 (FL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1447831730
Misty Dawn Pennington, APRN, FNP-BC's National Provider Identifier is 1447831730, issued on Apr 19, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Daytona Beach, FL. The record was last updated on Apr 19, 2021.