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Chancelyn S Penn, CNP
Psychiatric/Mental Health Nurse Practitioner in Gulfport, Mississippi
NPI 1487169678

Chancelyn S Penn is a Psychiatric/Mental Health Nurse Practitioner based in New Orleans, MS and is specialized in Psychiatric/Mental Health. Chancelyn S Penn practices in Gulfport, MS and has the professional credentials of CNP. The NPI Number for Chancelyn S Penn is 1487169678 and holds a License No. 110298 (Mississippi).

The current practice location address for Chancelyn S Penn is 1520 29Th Ave Ste 3, Gulfport, MS and can be reached out via phone at 601-419-7665.

Location: 1520 29Th Ave Ste 3, Gulfport, MS, 70119-4871
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487169678
Provider Name
Chancelyn S Penn
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
1520 29Th Ave Ste 3, Gulfport, MS, 70119-4871
Phone Number
601-419-7665
Fax Number
Provider Enumeration Date
12/10/2017
Last Update Date
06/15/2024
institution
Provider Business Practice Location Address Details
Address
1520 29Th Ave Ste 3
City
Gulfport
State
Mississippi
Zip
39501-2843
Phone Number
601-419-7665
Fax Number
person
Provider Business Mailing Address Details
Address
1520 29Th Ave Ste 3
City
Gulfport
State
Mississippi
Zip
39501-2843
Phone Number
601-419-7665
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
General Practice
Taxonomy
163WG0000X
License No.
906511 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
906511 (Mississippi)
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.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
227548 (Louisiana)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
906511 (Mississippi)
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
110298 (Louisiana)
Definition
Definition to come...
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