Penton, Allyson Marie

Penton, Allyson Marie is an individual health care provider with primary practice located at 1160 E Lakeshore Dr , Carriere MS 39426-7716. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Penton, Allyson Marie can be contacted via phone (601) 622-2423.

Contact Information

Primary practice address
1160 E Lakeshore Dr Carriere MS 39426-7716
Phone: (601) 622-2423
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 885758 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 885758 Mississippi

Profile Details

NPI number 1720574361
LBN Legal business name Penton, Allyson Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2018
Last updated Jun 7th, 2022 - about 4 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 1720574361 NPPES
Mississippi MEDICAID 00537363

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