person
Mrs. Penny Lou Phares, ARNP
Child & Adolescent Psychiatric/Mental Health Registered Nurse in Yankeetown, Florida
NPI 1477619377

Penny Lou Phares is a Child & Adolescent Psychiatric/Mental Health Registered Nurse based in Yankeetown, FL and is specialized in Psychiatric/Mental Health, Child & Adolescent. Penny Lou Phares practices in Yankeetown, FL and has the professional credentials of ARNP. The NPI Number for Penny Lou Phares is 1477619377 and holds a License No. ARNP1239672 (Florida).

The current practice location address for Penny Lou Phares is 6210 Harmony Ln, Yankeetown, FL and can be reached out via phone at 352-447-1775 and via fax at 352-447-2165.

Location: 6210 Harmony Ln, Yankeetown, FL, 34498-2424
person
Provider Profile Details
NPI Number
1477619377
Provider Name
Penny Lou Phares
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
6210 Harmony Ln, Yankeetown, FL, 34498-2424
Phone Number
352-447-1775
Fax Number
352-447-2165
Provider Enumeration Date
12/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
474927 01 FL VALUE OPTIONS PROVIDER NU
institution
Provider Business Practice Location Address Details
Address
6210 Harmony Ln
City
State
Zip
34498-2369
Phone Number
352-447-1775
Fax Number
352-447-2165
person
Provider Business Mailing Address Details
Address
6210 Harmony Ln
City
State
Zip
34498-2369
Phone Number
352-447-1775
Fax Number
352-447-2165
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Child & Adolescent
Taxonomy
License No.
ARNP1239672 (Florida)
Definition
Definition to come...
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