Mcclendon, Penelope

Mcclendon, Penelope is an individual health care provider with primary practice located at 440 Rayford Rd Ste 150 , Spring TX 77386-4169. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcclendon, Penelope can be contacted via phone (936) 539-4004.

Contact Information

Primary practice address
440 Rayford Rd Ste 150 Spring TX 77386-4169
Phone: (936) 539-4004
Fax: (281) 419-1395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP126322 Texas

Profile Details

NPI number 1760884282
LBN Legal business name Mcclendon, Penelope
Credentials MSN, APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2014
Last updated Mar 7th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760884282 NPPES
Texas MEDICAID 4153132-01

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