Jetta Nicole Pennington
NPI #1790555761 in Fisherville, Kentucky
Provider Information
- NPI Number
- 1790555761
- Entity Type
- Individual
- Name
- Jetta Nicole Pennington
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jan 2, 2024
- Last Updated
- Jan 2, 2024
Practice Location
- Address
- 2303 CHAMPION HILL PL
- City
- Fisherville
- State
- Kentucky
- ZIP Code
- 40023-8801
- Phone
- (606) 831-1553
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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