Josepha Christine Penn
Individual provider Active NPI Attendant Care Provider · Mineral Wells, WV
NPI 1285409482 · NPPES record last updated Nov 17, 2023
Key facts
- NPI
- 1285409482
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 370 Crown Manor Cir Ste 6
Mineral Wells, WV 26150-9646 - Phone
- (678) 492-6943
- NPI assigned
- Nov 17, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
370 Crown Manor Cir Ste 6
Mineral Wells, WV 26150-9646
Mailing address
370 Crown Manor Cir Ste 6
Mineral Wells, WV 26150-9646
Phone (678) 492-6943
Other providers in Mineral Wells, WV
- Kelsey Mullen
- Kali Nicholas
- Kayle Star Nicholas
- Sandra Kay Ott
- Kristina Marie Pena
- Joyce Elaine Persinger
- Heather Pingley
- Finbar Gerard Powderly
- Kimberly Dawn Pratt
- Aimee Rhoades
All providers in Mineral Wells, WV · Attendant Care Provider in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.