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NPI Code Detail

MEDICARE: JENNIFER R. PENROSE CRNP

MEDICARE: JENNIFER R. PENROSE CRNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerSP011345PA

General Provider Information

NPI Number : 1437449501
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER R. PENROSE CRNP
Provider Business Mailing Address
First Line : 400 MOSITES WAY
Second Line :
City : PITTSBURGH
State : PA
Zip : 15205-1342
Country : US
Telephone Number : 855-706-5387
Fax Number : 312-767-9304
Provider Business Practice Location Address
First Line : 400 MOSITES WAY
Second Line :
City : PITTSBURGH
State : PA
Zip : 15205-1342
Country : US
Telephone Number : 855-706-5387
Fax Number : 312-767-9304
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2011
Last Update Date : 02/01/2024

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