Mrs Penny Lou Phares, ARNP is a
Registered Nurse - Psychiatric/mental Health, Child & Adolescent based in Yankeetown, Florida. Mrs Penny Lou Phares is licensed to practice in Florida (license number ARNP1239672) and her current practice location is
6210 Harmony Ln, Yankeetown, Florida. She can be reached at her office (for appointments etc.) via phone at
(352) 447-1775.
NPI number for Mrs Penny Lou Phares is 1477619377 and her current mailing address is 14 Hickory Ave, Yankeetown, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477619377.
Provider's Profile
Full Name | Mrs Penny Lou Phares |
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Gender | Female |
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Speciality | Registered Nurse - Psychiatric/mental Health, Child & Adolescent |
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Location | 6210 Harmony Ln, Yankeetown, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477619377
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mrs Penny Lou Phares such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477619377 | NPI | - | NPPES |
474927 | Other | FL | VALUE OPTIONS PROVIDER NU |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | ARNP1239672 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Penny Lou Phares is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Penny Lou Phares, ARNP 14 Hickory Ave, Yankeetown, FL 34498-2424 Ph: (352) 447-1775 | Mrs Penny Lou Phares, ARNP 6210 Harmony Ln, Yankeetown, FL 34498-2369 Ph: (352) 447-1775 |
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