Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. KISHA BEACH PENN
ActivePROF. KISHA BEACH PENN is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SUMMERVILLE, South Carolina. NPI 1821850108 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SUMMERVILLE, SC
Registration Details
- NPI Number
- 1821850108
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 23, 2024 (2.3692449725238 yrs)
- Last Updated
- Jan 23, 2024
- License
-
81496 (SC)
Practice Information
- Address
-
100 CALLEN BLVDSUMMERVILLE, SC, 294862807Browse SC providers · Browse ZIP 29486
- Phone
- 8433432432
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
163WP2201X
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.