Jessica Abney Pennington
Family Doctor
2750 Battlefield Memorial Hwy
Berea
, Kentucky 40403-8332
Jessica Abney Pennington
Family Doctor
2750 Battlefield Memorial Hwy
Berea
, Kentucky 40403-8332
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About
Features
Specialties
- Family Doctor
Languages spoken
- English
Location
First Address
- Jessica Abney Pennington
- Po Box 936
- London, KY
- Zip : 40743-0936
- Phone :
Second Address
- Jessica Abney Pennington
- 2750 Battlefield Memorial Hwy
- Berea, KY
- Zip : 40403-8332
- Fax : (859) 986-0315
- Phone : (859) 986-0302
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 37778 | KY |
National Provider Identifier
| NPI | 1003861162 |
|---|---|
| Provider Name | Jessica Abney Pennington |
| First Address | London, KY 40743-0936 |
| Second Address | Berea, KY 40403-8332 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2006 |
| Last Update Date | 09/08/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 64055908 | (05) | KY |
| H78189 | (02) | KY |
| K014642 | MEDICARE (01) | KY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.