MRS. PENNY LYNN BURCHAM CFNP NPI 1609967520

NPI Information

NPI: 1609967520
Provider Name: MRS. PENNY LYNN BURCHAM, CFNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
2908 S LAMAR BLVD STE 100
OXFORD, MS
ZIP 38655
Phone: (662) 281-0112
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MRS. Penny Lynn Burcham, CFNP is a family nurse practitioner in Oxford, MS with 20 years of experience. MRS. Penny Lynn Burcham, CFNP NPI is 1609967520. 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:

2908 S LAMAR BLVD STE 100
OXFORD, MS
ZIP 38655-347
Phone: (662) 281-0112
Fax: (662) 281-0943

The NPI 1609967520 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/27/2006 and was last updated on 6/9/2014.

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	363LF0000X	Nurse Practitioner	Family	R859522	MISSISSIPPI	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
1	500002013	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI
2	302I501434	MEDICARE PIN	MISSISSIPPI
3	D00828	MEDICARE UPIN	MISSISSIPPI
4	07077714	MEDICAID	MISSISSIPPI

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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