| NPI | 1285909234 |
|---|---|
| Former Name | JAIMA B PENNINGTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16570) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 30633) |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2025-09-12 |