Julie Ann Pennington, LPN
Individual provider Active NPI Licensed Practical Nurse · Diamond, OH
NPI 1437869708 · NPPES record last updated Nov 28, 2022
Key facts
- NPI
- 1437869708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- PN109621 (OH)
- Practice address
- 9277 Cable Line Rd
Diamond, OH 44412-9797 - Phone
- (330) 281-6400
- NPI assigned
- Nov 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN109621 | OH | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN109621 | OH | Yes |
Addresses
Primary practice location
9277 Cable Line Rd
Diamond, OH 44412-9797
Mailing address
9277 Cable Line Rd
Diamond, OH 44412-9797
Phone (330) 281-6400
Other providers in Diamond, OH
- Larry C. Barkley
- Jennifer Lassen
- Michelle Rose Miller
- More Than Milk LLC
- Richard M Pellin Jr.
- Township of Palmyra Trustees
- Amber L Whiteford
- Christine Elaine Windt
- Jalynn Day Witchey
- Sonja Lynn Witchey
All providers in Diamond, OH · Licensed Practical Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2022. 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.