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PENNY WATERS LPN
NPI 1942670294
Licensed Practical Nurse in Jacksonville, FL

Active since September 30, 2015
6639 SOUTHPOINT PKWY, SUITE 108, JACKSONVILLE, FL 32216(904) 438-7640(904) 438-7656 Get Directions Write a Review

NPPES record last updated: September 30, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Penny Waters Lpn NPPES

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

PENNY WATERS LPN (NPI 1942670294) is an individual licensed practical nurse in Jacksonville, Florida, licensed in Florida (PN 5210011) and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1942670294
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePENNY WATERSCredential: LPN
Location Address6639 SOUTHPOINT PKWY, SUITE 108Jacksonville, FL 32216-8041
Mailing Address6639 Southpoint Pkwy, Suite 108Jacksonville, FL 32216-8041 · (904) 438-7640 · Fax (904) 438-7656
Phone(904) 438-7640
Fax(904) 438-7656
Sole ProprietorNo
Enumeration DateSeptember 30, 2015
✔ NPI 1942670294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in FL · PN 5210011
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
6639 SOUTHPOINT PKWY, Jacksonville, FL 32216
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Other Providers at the Same Location NPPES 8

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

MRS. RAGDA DEEB MCAFEE M.P.T.
Physical Therapist
6639 SOUTHPOINT PKWY
JACKSONVILLE, FL 32216
Duval County (904) 296-4140
PATSY DUBBERLY
Licensed Practical Nurse
6639 SOUTHPOINT PKWY, SUITE 108
JACKSONVILLE, FL 32216
Duval County (904) 438-7640
MS. PATRICIA MILLER LPN
Licensed Practical Nurse
6639 SOUTHPOINT PKWY, STE 108
JACKSONVILLE, FL 32216
Duval County (904) 438-7640
GINA PERRY
Counselor (Addiction (Substance Use Disorder))
6639 SOUTHPOINT PKWY
JACKSONVILLE, FL 32216
Duval County (904) 438-7640
MRS. LADINA N MONDESIR
Counselor (Addiction (Substance Use Disorder))
6639 SOUTHPOINT PKWY
JACKSONVILLE, FL 32216
Duval County (904) 438-7640
DR. AMANDA RENE PRATT PT, DPT
Physical Therapist
6639 SOUTHPOINT PKWY, STE. 103
JACKSONVILLE, FL 32216
Duval County (904) 296-4140
CRC HEALTH TREATMENT CLINICS, LLC
Clinic/Center (Methadone)
6639 SOUTHPOINT PKWY, STE 108
JACKSONVILLE, FL 32216
Duval County (904) 438-7640
KIMBERLY BYNUM LPN
Licensed Practical Nurse
6639 SOUTHPOINT PKWY
JACKSONVILLE, FL 32216
Duval County (904) 674-8664

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 Penny Waters's NPI number?

The NPI number for Penny Waters is 1942670294. It was assigned to this individual provider in the NPPES registry on September 30, 2015.

Where is Penny Waters located?

Penny Waters practices at 6639 Southpoint Pkwy Suite 108, Jacksonville, FL 32216. The listed phone number is (904) 438-7640.

What is Penny Waters's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Penny Waters was last updated on September 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.