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Jennifer Anne Pennington, DO
Family Medicine Physician in Mishawaka, Indiana
NPI 1114145687

Jennifer Anne Pennington is a Family Medicine Physician based in South Bend, IN. Jennifer Anne Pennington practices in Mishawaka, IN and has the professional credentials of DO. The NPI Number for Jennifer Anne Pennington is 1114145687 and holds a License No. 02003207A (Indiana).

The current practice location address for Jennifer Anne Pennington is 4630 Vistula Rd, Mishawaka, IN and can be reached out via phone at 574-647-1900 and via fax at 574-254-7222.

Location: 4630 Vistula Rd, Mishawaka, IN, 46617-1924
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1114145687
Provider Name
Jennifer Anne Pennington
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
4630 Vistula Rd, Mishawaka, IN, 46617-1924
Phone Number
574-647-1900
Fax Number
574-254-7222
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000533533 01 IN BCBS BMG SCHWARTZ-WIEKAMP
200874950 05 IN
P00734479 01 IN RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
4630 Vistula Rd
City
Mishawaka
State
Indiana
Zip
46544-4000
Phone Number
574-647-1900
Fax Number
574-254-7222
person
Provider Business Mailing Address Details
Address
4630 Vistula Rd
City
Mishawaka
State
Indiana
Zip
46544-4000
Phone Number
574-647-1900
Fax Number
574-254-7222
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
02003207A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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