MRS. PENNI LANE EXTON RN NPI 1417628249

NPI Information

  • NPI: 1417628249
  • Provider Name: MRS. PENNI LANE EXTON, RN
  • Classification: Registered Nurse - 163WW0000X
  • Specialization: Wound Care
  • Entity Type: Individual
  • Address: 424 N LOCUST ST
    MOMENCE, IL
    ZIP 60954
  • Phone: (219) 973-8716

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NPI Details

MRS. Penni Lane Exton, RN is a wound care registered nurse in Momence, IL. MRS. Penni Lane Exton, RN NPI is 1417628249. 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:

424 N LOCUST ST
MOMENCE, IL
ZIP 60954-236
Phone: (219) 973-8716

The enumeration date for this NPI number is 9/22/2021 and was last updated on 9/22/2021.

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
1163WW0000XRegistered NurseWound Care04148062ILLINOISYes

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: 11/21/2025

NPI Synchronization or Removal

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