Edna Jean Pence in Elizabethtown - Obstetrics & Gynecology

Edna Jean Pence - NPI 1073616017

Edna Jean Pence is a Obstetrics & Gynecology in Elizabethtown, Kentucky. Edna Jean Pence practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Edna Jean Pence is 1073616017. The last update date is 2007-07-08.

Edna Jean Pence's current location address is 1115 Woodland Dr, Elizabethtown, Kentucky. You can contact this provider via phone number 2707695963 and fax number 2707699051. The mailing address for Edna Jean Pence is 1115 Woodland Dr, Elizabethtown, Kentucky. To know further, please read the information below!

Provider Profile Detail

Provider Name Edna Jean Pence
Address 1115 Woodland Dr, Elizabethtown, Kentucky
Phone Number 2707695963
Fax Number 2707699051
Sole Proprietor N
Credentials CNM

NPI Number Detail

NPI Number 1073616017
Provider Enumeration Date 2006-09-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1115 Woodland Dr
City Elizabethtown
State Kentucky (KY)
Post Code 427012749
Phone Number 2707695963
Fax Number 2707699051

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 363Lx0001X
Licence No 386M
Definition:
An advanced practice registered nurse expert in healthcare services related to the female reproductive system across the lifespan.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
78000510 KY --

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FAQs about Edna Jean Pence

What is the unique 10-digit identification code assigned to Edna Jean Pence by the Centers for Medicare & Medicaid Services?

The Edna Jean Pence has been issued the NPI (National Provider Identifier) 1073616017, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Edna Jean Pence is located?

The Edna Jean Pence is situated at the following address: 1115 Woodland Dr, Elizabethtown, KY, 427012749.

What is the Edna Jean Pence's area of specialization and corresponding taxonomy classification?

The Edna Jean Pence's specialty field is Obstetrics & Gynecology, and it falls under the taxonomy code 363Lx0001X, which categorizes healthcare providers based on their specialties.

When was the Edna Jean Pence's 1073616017 issued?

The Edna Jean Pence's 1073616017 was issued on 2006-09-06.

As of what date were the details related to Edna Jean Pence most recently updated or revised?

The information pertaining to Edna Jean Pence, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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