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MISS PENNICA MARIE MUMFORD BSN,MSN, RN
NPI 1205394822
Registered Nurse - General Practice in Savannah, GA

Active since March 04, 2019
1395 EISENHOWER DR, SAVANNAH, GA 31406(912) 656-4456(912) 721-0121 Get Directions Write a Review

NPPES record last updated: March 4, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Pennica Marie Mumford Bsn,msn, Rn NPPES

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

MISS PENNICA MARIE MUMFORD BSN,MSN, RN (NPI 1205394822) is an individual general practice provider in Savannah, Georgia, licensed in Georgia (RN168735) and active in the NPI registry since March 2019. She maintains a secondary practice location in Savannah.

NPPES Registry Identity

NPI1205394822
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NameMISS PENNICA MARIE MUMFORDCredential: BSN,MSN, RN
Location Address1395 EISENHOWER DRSavannah, GA 31406-3901
Mailing Address4113 Fenwick Village DrSavannah, GA 31419-5513 · (912) 844-6497
Phone(912) 656-4456
Fax(912) 721-0121
Sole ProprietorNo
Enumeration DateMarch 4, 2019
✔ NPI 1205394822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 10

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in GA · RN168735
Also ListedRegistered Nurse · AdministratorTaxonomy 163WA2000X · License RN168735 (GA)
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License RN168735 (GA)
Also ListedRegistered Nurse · Continuing Education/Staff DevelopmentTaxonomy 163WC1600X · License RN168735 (GA)
Also ListedRegistered Nurse · GerontologyTaxonomy 163WG0600X · License RN168735 (GA)
Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X · License RN168735 (GA)
Also ListedRegistered Nurse · Nutrition SupportTaxonomy 163WN1003X · License RN168735 (GA)
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License RN168735 (GA)
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License RN168735 (GA)
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License RN168735 (GA)
1395 EISENHOWER DR, Savannah, GA 31406
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Secondary Practice Location 1

Location 14113 Fenwick Village DrSavannah, GA 31419-5513 · Phone (912) 844-6497

Other Providers at the Same Location NPPES 20

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

DEANNA LYNN QUINCY RN
Registered Nurse (Community Health)
1395 EISENHOWER DR
SAVANNAH, GA 31406
Chatham County (912) 356-2158
CATHY SCHMID RN
Registered Nurse
1395 EISENHOWER DR
SAVANNAH, GA 31406
Chatham County (912) 256-2868
PEGGY WEAVER LPN
Licensed Practical Nurse
1395 EISENHOWER DR
SAVANNAH, GA 31406
Chatham County (912) 356-2441
SARAH ELIZABETH SOLZE
Clinical Nurse Specialist (Community Health/Public Health)
1395 EISENHOWER DR
SAVANNAH, GA 31406
Chatham County (912) 356-2150
MARCY MITCHELL RN
Registered Nurse
1395 EISENHOWER DR
SAVANNAH, GA 31406
Chatham County (912) 356-2157
RUSHENA MICHELLE GARNER
Registered Nurse
1395 EISENHOWER DR
SAVANNAH, GA 31406
Chatham County (912) 356-2155
CHATHAM COUNTY HEALTH DEPARTMENT
Clinic/Center (Public Health, State or Local)
1395 EISENHOWER DR
SAVANNAH, GA 31406
Chatham County (912) 356-2157
ROBBIE LEWIS
Licensed Practical Nurse
1395 EISENHOWER DR
SAVANNAH, GA 31406
Chatham County (912) 303-9124

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 Pennica Mumford's NPI number?

The NPI number for Pennica Mumford is 1205394822. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Where is Pennica Mumford located?

Pennica Mumford practices at 1395 Eisenhower Dr, Savannah, GA 31406. The listed phone number is (912) 656-4456.

What is Pennica Mumford's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Pennica Mumford was last updated on March 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.