NPI Profile for ALYSSA D PENNOCK in SAINT JOSEPH, MO.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Perinatal |
364SP1700X | 89 | Certified Clinical Nurse Specialist |
| NPI Number | 1295536381 |
|
| Status | Active | |
| Credentials | BSN, RN, FNE | |
| Entity | Individual | |
| Enumeration date | 03/24/2025 | |
| Last updated | 03/24/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ALYSSA D PENNOCK
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