NPI 1376163790

Jared Penner

Practitioner Family Medicine Physician Fpo, AA

Practice location

Address: Psc 1005 Box 11219, Fpo, AA 34009
Phone: (757) 458-2944

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 0101276005 (VA)

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Registry record

NPI: 1376163790
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Apr 2020
Record last updated: 29 Jul 2024

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.