Penn, Janice Marion

Penn, Janice Marion is an individual health care provider with primary practice located at 4101 Barbara Loop Se Suite D, Rio Rancho NM 87124-1009. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Penn, Janice Marion can be contacted via phone (505) 892-3639.

Contact Information

Primary practice address
4101 Barbara Loop Se Suite D Rio Rancho NM 87124-1009
Phone: (505) 892-3639
Fax: (505) 892-6348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X R14768 New Mexico

Profile Details

NPI number 1144297771
LBN Legal business name Penn, Janice Marion
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Aug 8th, 2012 - about 12 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 1144297771 NPPES
New Mexico MEDICAID 98648

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