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MS. MARY CATHARINE PENN ARNP
NPI 1861488546
Nurse Practitioner in Ponte Vedra, FL

Active since September 27, 2005
400 COLONNADE DR, SUITE 160, PONTE VEDRA, FL 32081(904) 824-1020(904) 824-5333 Get Directions Write a Review

NPPES record last updated: February 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Mary Catharine Penn Arnp NPPES

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

MS. MARY CATHARINE PENN ARNP (NPI 1861488546) is an individual nurse practitioner in Ponte Vedra, Florida, licensed in Florida (APRN2849942) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1861488546
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. MARY CATHARINE PENNCredential: ARNP
Location Address400 COLONNADE DR, SUITE 160Ponte Vedra, FL 32081
Mailing AddressPo Box 45443Salt Lake City, UT 84145-0443 · (904) 202-1032 · Fax (904) 376-4107
Phone(904) 824-1020
Fax(904) 824-5333
Sole ProprietorNo
Enumeration DateSeptember 27, 2005
Last NPPES UpdateFebruary 13, 2021
NPPES CertifiedJanuary 29, 2021
✔ NPI 1861488546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN2849942
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 2849942 (FL)
400 COLONNADE DR, Ponte Vedra, FL 32081
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Other Identifiers 1

Medicaid3050408-00FL

Other Providers at the Same Location NPPES

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

HIRO M RAHBAR MD
Family Medicine
400 COLONNADE DR
PONTE VEDRA, FL 32081
St. Johns County (904) 824-1020

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 Mary Penn's NPI number?

The NPI number for Mary Penn is 1861488546. It was assigned to this individual provider in the NPPES registry on September 27, 2005.

Where is Mary Penn located?

Mary Penn practices at 400 Colonnade Dr Suite 160, Ponte Vedra, FL 32081. The listed phone number is (904) 824-1020.

What is Mary Penn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Penn was last updated on February 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.