Allen, Pennie Lee

Allen, Pennie Lee is an sole proprietor health care provider with primary practice located at 1 Lincoln Pkwy Suite 202, Hattiesburg MS 39402-3262. 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 / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Allen, Pennie Lee can be contacted via phone (601) 288-8050.

Contact Information

Primary practice address
1 Lincoln Pkwy Suite 202 Hattiesburg MS 39402-3262
Phone: (601) 288-8050
Fax: (601) 288-8058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R865783 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R865783 Mississippi

Profile Details

NPI number 1710217914
LBN Legal business name Allen, Pennie Lee
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2010
Last updated May 27th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710217914 NPPES
Mississippi MEDICAID 06733243
Mississippi Other 12076121
Mississippi Other 9429535

Popular Providers