Individual provider · Type 1 NPI

Beau Tanner Pennington, MD

Student in an Organized Health Care Education/Training Program · North Little Rock, AR

NPI number 1679323554 Active

Practice location

3201 Springhill Dr Ste 300
North Little Rock, AR 72117-2909

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679323554

Beau Tanner Pennington, MD's National Provider Identifier is 1679323554, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Little Rock, AR. The record was last updated on Mar 25, 2024.