MISS PENNICA MARIE MUMFORD BSNMSN RN NPI 1205394822

NPI Information

NPI: 1205394822
Provider Name: MISS PENNICA MARIE MUMFORD, BSN,MSN, RN
Classification: Registered Nurse - 163WG0000X
Entity Type: Individual

Specialization: General Practice

Address:
1395 EISENHOWER DR
SAVANNAH, GA
ZIP 31406
Phone: (912) 656-4456
Get Directions

MISS Pennica Marie Mumford, BSN,MSN, RN is a general practice registered nurse in Savannah, GA. MISS Pennica Marie Mumford, BSN,MSN, RN NPI is 1205394822. 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:

1395 EISENHOWER DR
SAVANNAH, GA
ZIP 31406-901
Phone: (912) 656-4456
Fax: (912) 721-0121

The enumeration date for this NPI number is 3/4/2019 and was last updated on 3/4/2019.

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	163WA2000X	Registered Nurse	Administrator	RN168735	GEORGIA	No
2	163WC0400X	Registered Nurse	Case Management	RN168735	GEORGIA	No
3	163WC1600X	Registered Nurse	Continuing Education/Staff Development	RN168735	GEORGIA	No
4	163WG0000X	Registered Nurse	General Practice	RN168735	GEORGIA	Yes
5	163WG0600X	Registered Nurse	Gerontology	RN168735	GEORGIA	No
6	163WI0500X	Registered Nurse	Infusion Therapy	RN168735	GEORGIA	No
7	163WN1003X	Registered Nurse	Nutrition Support	RN168735	GEORGIA	No
8	163WP0807X	Registered Nurse	Psychiatric/Mental Health, Child & Adolescent	RN168735	GEORGIA	No
9	163WP0809X	Registered Nurse	Psychiatric/Mental Health, Adult	RN168735	GEORGIA	No
10	163WW0000X	Registered Nurse	Wound Care	RN168735	GEORGIA	No

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »