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
ZIP Code
62650-1136
Phone
(217) 245-9541

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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