Individual provider · Type 1 NPI

Theresa Louise Pennington, FNP-BC

Family Nurse Practitioner · Poplar Bluff, MO

NPI number 1720445463 Active

Practice location

3100 Oak Grove Rd
Poplar Bluff, MO 63901-1573

Mailing address

14030 Highway 160
Harviell, MO 63945-8161

Other practice locations

  • 3098 Oak Grove Rd, Poplar Bluff, MO 63901-8938 · (573) 778-2600
  • 14030 Highway 160, Harviell, MO 63945-8161 · (573) 714-4228

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X2016001340 (MO)

Family Nurse Practitioner: Definition to come...

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About NPI 1720445463

Theresa Louise Pennington, FNP-BC's National Provider Identifier is 1720445463, issued on Jan 26, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Poplar Bluff, MO. The record was last updated on Sep 1, 2020.