Pennycook, Jody Lynn

Pennycook, Jody Lynn is an sole proprietor health care provider with primary practice located at 4740 Hoen Ave , Santa Rosa CA 95405-7824. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Pennycook, Jody Lynn can be contacted via phone (707) 542-2783.

Contact Information

Primary practice address
4740 Hoen Ave Santa Rosa CA 95405-7824
Phone: (707) 542-2783
Fax: (707) 542-7976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA22225 California

Profile Details

NPI number 1255696910
LBN Legal business name Pennycook, Jody Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2012
Last updated Jul 9th, 2012 - about 13 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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