Pennington, Lynn Bernaird

Pennington, Lynn Bernaird is an individual health care provider with primary practice located at 5247 Didesse Dr , Baton Rouge LA 70808-9153. 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 / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Pennington, Lynn Bernaird can be contacted via phone (225) 765-3076.

Contact Information

Primary practice address
5247 Didesse Dr Baton Rouge LA 70808-9153
Fax: (225) 765-3090
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN030357 AP02978 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 030357 Louisiana

Profile Details

NPI number 1720087828
LBN Legal business name Pennington, Lynn Bernaird
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Oct 24th, 2013 - about 11 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 1720087828 NPPES
Louisiana MEDICAID 1438855
Louisiana Other P00137724

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