Pope, Penny Mooney
Pope, Penny Mooney is an sole proprietor health care provider with primary practice located at 172 W Independence Blvd , Mount Airy NC 27030-3566. 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 / Nurse Practitioner is her primary health care specialty. Pope, Penny Mooney can be contacted via phone (336) 415-5851.Contact Information
Primary practice address
172 W Independence Blvd
Mount Airy NC 27030-3566
Phone: (336) 415-5851
Fax: (336) 415-5854
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5006312 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5006312 | North Carolina |
Profile Details
| NPI number | 1497187629 |
|---|---|
| LBN Legal business name | Pope, Penny Mooney |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2013 |
| Last updated | Oct 18th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497187629 | NPPES |
| North Carolina | MEDICAID | 1124486832 |
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