| Doctor Name: | JENNIFER E PENNEY |
| NPI Number: | 1144425380 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP, FNP |
| License Number: | AP081835 |
| Business Practice Address: | 16 W Concourse Waterville, ME - 049016007 |
| Business Phone Number: | 2078731036 |
| Business Fax Number: | 2078731039 |
| Mailing Address: | 16 Concourse West, WATERVILLE |
| State: | ME |
| Postal Code: | 049014540 |
| Phone Number: | 2078731036 |
| Fax Number: | 2078731039 |
| NPI Enumeration Date: | 06/18/2007 |
| NPI Last Update Date: | 06/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | AP081835 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |