NPI 1104227834

Shenita Penn, LPN

Practitioner Licensed Practical Nurse Fort Stewart, GA

Practice location

Address: 1061 Harmon Ave, Fort Stewart, GA 31314-5641
Phone: (912) 435-6633

Registered specialties (2)

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence LPN080991 (GA)

Other Licensed Practical Nurse providers in Georgia →

Licensed Practical Nurse

Nursing Service Providers Taxonomy 164W00000X Licence L048721 (AR)

Registry record

NPI: 1104227834
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Sep 2014
Record last updated: 12 Sep 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.