Penn, Chancelyn S

Penn, Chancelyn S is an sole proprietor health care provider with primary practice located at 1520 29Th Ave Ste 3 , Gulfport MS 39501-2843. She recently has 5 registered licenses in different health care specialties including Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Penn, Chancelyn S can be contacted via phone (601) 419-7665.

Contact Information

Primary practice address
1520 29Th Ave Ste 3 Gulfport MS 39501-2843
Phone: (601) 419-7665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 110298 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 906511 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 227548 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 906511 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 906511 Mississippi

Profile Details

NPI number 1487169678
LBN Legal business name Penn, Chancelyn S
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2017
Last updated May 20th, 2024 - about 6 months 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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