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JEANNIE D PENCE CANP
NPI 1063637106
Nurse Practitioner - Adult Health in Tupelo, MS

Active since April 16, 2007
1542 MEDICAL PARK CIR, TUPELO, MS 38801(662) 844-4711(662) 844-9619 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeannie D Pence Canp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEANNIE D PENCE CANP (NPI 1063637106) is an individual adult health provider in Tupelo, Mississippi, licensed in Mississippi (R682519) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1063637106
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJEANNIE D PENCECredential: CANP
Location Address1542 MEDICAL PARK CIRTupelo, MS 38801-6560
Mailing Address1542 Medical Park CirTupelo, MS 38801-6560 · (662) 844-4711 · Fax (662) 844-9619
Phone(662) 844-4711
Fax(662) 844-9619
Sole ProprietorNo
Enumeration DateApril 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063637106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MS · R682519
1542 MEDICAL PARK CIR, Tupelo, MS 38801
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Other Identifiers 1

Medicare UPINS69489MS

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARCUS LOUIS BRITTON M.D.
Internal Medicine (Nephrology)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-4711
HARMINDER K ATWAL ACNP-BC
Nurse Practitioner (Acute Care)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-4711
NEPHROLOGY AND HYPERTENSION ASSOCIATES, LTD
Internal Medicine (Nephrology)
1542 MEDICAL PARK CIR, 1542 MEDICAL PARK CIRCLE
TUPELO, MS 38801
Lee County (662) 844-4711
JOHN MARTIN LEE JR. MD
Internal Medicine (Nephrology)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-4711
RENAL CARE GROUP TUPELO, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 841-2315
CALVIN CHARLES PATRICK BAKER MD
Internal Medicine (Nephrology)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-4711
MRS. BRANDY M MCCAIN CRNP
Nurse Practitioner (Family)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-4711
AMITA MAIBAM M.D.
Internal Medicine (Nephrology)
1542 MEDICAL PARK CIR
TUPELO, MS 38801
Lee County (662) 844-4711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeannie Pence's NPI number?

The NPI number for Jeannie Pence is 1063637106. It was assigned to this individual provider in the NPPES registry on April 16, 2007.

Where is Jeannie Pence located?

Jeannie Pence practices at 1542 Medical Park Cir, Tupelo, MS 38801. The listed phone number is (662) 844-4711.

What is Jeannie Pence's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Jeannie Pence was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.