Holly Diane Pennell, NP
NPI #1528690799 in Jacksonville, Illinois
Provider Information
- NPI Number
- 1528690799
- Entity Type
- Individual
- Name
- Holly Diane Pennell, NP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- NP
- Enumeration Date
- Feb 6, 2020
- Last Updated
- Feb 6, 2020
Practice Location
- Address
- 1600 W WALNUT ST
- City
- Jacksonville
- State
- Illinois
- ZIP Code
- 62650-1136
- Phone
- (217) 245-9541
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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