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
Fax: (336) 415-5854
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497187629 NPPES
North Carolina MEDICAID 1124486832

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