EDNA JEAN PENCE CNM NPI 1073616017

NPI Information

NPI: 1073616017
Provider Name: EDNA JEAN PENCE, CNM
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
1115 WOODLAND DR
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 769-5963
Get Directions

Edna Jean Pence, CNM is an obstetrics and gynecology nurse practitioner in Elizabethtown, KY. Edna Jean Pence, CNM NPI is 1073616017. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1115 WOODLAND DR
ELIZABETHTOWN, KY
ZIP 42701-749
Phone: (270) 769-5963
Fax: (270) 769-9051

The enumeration date for this NPI number is 9/6/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	386M	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	78000510	MEDICAID	KENTUCKY
2	S33068	MEDICARE UPIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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