Healthcare Provider Details

I. General information

NPI: 1811293863
Provider Name (Legal Business Name): ALLISON SWAIM PENNINGTON FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON SWAIM GOSNELL

II. Dates (important events)

Enumeration Date: 02/08/2011
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

613 23RD ST STE 430
ASHLAND KY
41101-2885
US

IV. Provider business mailing address

PO BOX 2155
ASHLAND KY
41105-2155
US

V. Phone/Fax

Practice location:
  • Phone: 606-408-8200
  • Fax: 606-408-6291
Mailing address:
  • Phone: 606-833-0144
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number85698
License Number StateWV
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3006922
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: