National Provider Identifier Database

ALYSSA D PENNOCK, BSN, RN, FNE – NPI #1295536381
Perinatal


Contact Information

ALYSSA D PENNOCK, BSN, RN, FNE
2809 FELIX ST
SAINT JOSEPH, MO64501-3348
Phone: 417-342-6383
Fax:
Website:
Specialty Taxonomy Code
* Perinatal 364SP1700X

* Indicates primary specialty

NPI Profile & details for ALYSSA D PENNOCK

NPI Number 1295536381
Credentials BSN, RN, FNE
Entity Individual
Enumeration date 03/24/2025
Last updated 03/24/2025 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • MO License #: 2023007962
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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