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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JETTA NICOLE PENNINGTON

Active

JETTA NICOLE PENNINGTON is a Family Nurse Practitioner healthcare provider located in FISHERVILLE, Kentucky. NPI 1790555761 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FISHERVILLE, KY

Registration Details

NPI Number
1790555761
Provider Type
Individual
Gender
Female
NPI Issued
Jan 2, 2024 (2.4338542209991 yrs)
Last Updated
Jan 2, 2024
License
4014463 (KY)

Practice Information

Address
2303 CHAMPION HILL PL
FISHERVILLE, KY, 400238801
Browse KY providers · Browse ZIP 40023
Phone
6068311553
Primary Specialty
Family Nurse Practitioner
363LF0000X

Other Family Nurse Practitioner Providers in FISHERVILLE, KY

Name Credential NPI
DR. MOLLIE ELIZABETH FLOWERS DNP, APRN, FNP-BC 1043890437
MRS. MONTELL LAFAYE HULL 1922964758
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.