| Doctor Name: | PENNI YOUNG GARLAND |
| NPI Number: | 1245294016 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC, ARNP |
| License Number: | R0076634 |
| Business Practice Address: | 1101 S Belmont Ave Ste. 105 Okmulgee, OK - 744476315 |
| Business Phone Number: | 9187562533 |
| Business Fax Number: | 9187569588 |
| Mailing Address: | 1101 S Belmont Ave, Ste. 105 OKMULGEE |
| State: | OK |
| Postal Code: | 744476315 |
| Phone Number: | 9187562533 |
| Fax Number: | 9187569588 |
| NPI Enumeration Date: | 04/17/2006 |
| NPI Last Update Date: | 05/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | R0076634 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |