NPI 1679274054

Joycelyn N Penn

Practitioner Driver Winston Salem, NC

Practice location

Address: 321 Gregory St APT 12, Winston Salem, NC 27101-4953
Phone: (743) 444-9623
Mailing address: 1821 N Cleveland Ave APT C, Winston Salem, NC 27105-6253

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 000029051426 (NC)

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Registry record

NPI: 1679274054
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2023
Record last updated: 13 Mar 2023

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.