Theresa Louise Pennington FNP-BC

NPI # 

Practice Address:

3100 Oak Grove Rd

Poplar Bluff, MO, 63901-1573

Practice Phone:

573-776-2600

License Number:

2016001340

License State:

MO

Taxonomy Grouping:

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy Classification:

Nurse Practitioner

Taxonomy Specialization:

Family

Taxonomy Code:

363LF0000X