CHANCELYN S PENN DHA MSN FNP-BC NPI 1487169678

NPI Information

NPI: 1487169678
Provider Name: CHANCELYN S PENN, DHA, MSN, FNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1520 29TH AVE STE 3
GULFPORT, MS
ZIP 39501
Phone: (601) 479-7665
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Chancelyn S Penn, DHA, MSN, FNP-BC is a psychiatric/mental health nurse practitioner in Gulfport, MS. Chancelyn S Penn, DHA, MSN, FNP-BC NPI is 1487169678. 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:

1520 29TH AVE STE 3
GULFPORT, MS
ZIP 39501-843
Phone: (601) 479-7665

The enumeration date for this NPI number is 12/10/2017 and was last updated on 4/10/2024.

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	163WG0000X	Registered Nurse	General Practice	110298	LOUISIANA	No
2	363L00000X	Nurse Practitioner		906511	MISSISSIPPI	No
3	363LF0000X	Nurse Practitioner	Family	227548	LOUISIANA	No
4	363LP2300X	Nurse Practitioner	Primary Care	906511	MISSISSIPPI	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	906511	MISSISSIPPI	Yes

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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