person
Miss Jody Lynn Pennycook, PA
Medical Physician Assistant in Santa Rosa, California
NPI 1255696910

Jody Lynn Pennycook is a Medical Physician Assistant based in Santa Rosa, CA and is specialized in Medical. Jody Lynn Pennycook practices in Santa Rosa, CA and has the professional credentials of PA. The NPI Number for Jody Lynn Pennycook is 1255696910 and holds a License No. PA22225 (California).

The current practice location address for Jody Lynn Pennycook is 4740 Hoen Ave, Santa Rosa, CA and can be reached out via phone at 707-542-2783 and via fax at 707-542-7976. You can also correspond with Jody Lynn Pennycook through the mailing address at 4740 HOEN AVE, SANTA ROSA, CA - 95405-7824 (mailing address contact number: 707-542-2783).

Location: 4740 Hoen Ave, Santa Rosa, CA, 95405-7824
person
Provider Profile Details
NPI Number
1255696910
Provider Name
Jody Lynn Pennycook
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
4740 Hoen Ave, Santa Rosa, CA, 95405-7824
Phone Number
707-542-2783
Fax Number
707-542-7976
Provider Enumeration Date
07/09/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4740 Hoen Ave
City
State
Zip
95405-7824
Phone Number
707-542-2783
Fax Number
707-542-7976
person
Provider Business Mailing Address Details
Address
4740 Hoen Ave
City
State
Zip
95405-7824
Phone Number
707-542-2783
Fax Number
707-542-7976
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA22225 (California)
Definition
Definition to come...
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