EDNA JEAN PENCE (NPI# 1073616017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073616017 |
| Entity Type | Individual |
| Full Name | EDNA JEAN PENCE |
| Credential | CNM |
| Practice Address |
1115 Woodland Dr Elizabethtown KY 42701-2749 |
| Practice Telephone | 2707695963 |
| Practice Fax Number | 2707699051 |
| Mailing Telephone | 2707695963 |
| Mailing Fax Number | 2707699051 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
386M | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 78000510 | 05 |
| Street Address |
1115 WOODLAND DR |
| City | ELIZABETHTOWN |
| State | KY |
| Zip Code | 42701-2749 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013992460 | Amy Preen | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2005-12-08 |
| 1245709849 | Lauren Ford | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2018-11-13 |
| 1295190312 | Kimberly S. Barnes | Advanced Practice Midwife | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2015-12-16 |
| 1215229240 | Tracy Johnson | Nurse Practitioner | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2011-05-10 |
| 1114199189 | Jason Edward Goodman | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2008-03-29 |
| 1629125083 | Chantel Eve Unseld | Nurse Practitioner | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2007-01-05 |
| 1427151430 | Myra A Henderson | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1497858641 | David A Hamilton Sr. | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1760585988 | Elizabethtown Physicians for Women,psc | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| 1831292077 | Lucian Y Moreman II | Obstetrics & Gynecology | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693104 | James G. Thornton | Specialist/Technologist, Other | 2409 Ring Road, Suite 106, Elizabethtown, KY 42701 | 2020-09-11 |
| 1033720727 | Rebecca Williams | Pharmacist | 1602 N Dixie Highway, Elizabethtown, KY 42701 | 2020-08-14 |
| 1245855709 | Mckenzie Jo Clemons | Speech-Language Pathologist | 107 Financial Drive, Elizabethtown, KY 42701 | 2020-06-10 |
| 1215565825 | Christina Nichole Hobson | Peer Specialist | 413 E Dixie Ste 106, Elizabethtown, KY 42701 | 2020-03-30 |
| 1336701275 | Cassandra Elizabeth Baker | Nurse Practitioner | 2005 N. Dixie Highway, Elizabethtown, KY 42701 | 2019-07-01 |
| 1487134276 | Ryan Leon Hogan | Marriage & Family Therapist | 1106 Tunnel Hill Road, Suite 100, Elizabethtown, KY 42701 | 2018-08-21 |
| 1033623921 | Kayla Russell | Behavior Technician | 529 Westport Road, Elizabethtown, KY 42701 | 2017-11-30 |
| 1578087128 | Brenda Gale Nunn | Case Manager/Care Coordinator | 2600 Ring Road, Elizabethtown, KY 42701 | 2017-07-26 |
| 1013451277 | Chelsea Danielle Thorn | Nurse Practitioner | 2005 N. Dixie Hwy, Elizabethtown, KY 42701 | 2016-12-07 |
| 1003364597 | Joseph Michael Senay | Pharmacist | 521 Robinbrooke Dr., Cancer Care Center of Hardin Memorial Hospital, Elizabethtown, KY 42701 | 2016-09-14 |
| Find all providers in zip 42701 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639272602 | Ruth A Mcconnell | Nurse Practitioner | 1115 Woodland Dr, Elizabethtown, KY 42701-2749 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386190171 | Elisabeth A Pelt | Nurse Practitioner | 140 North Eagle Creek, Ste 200, Lexington, KY 40509-1800 | 2016-08-31 |
| 1750790069 | Ephraim Mcdowell Health Resource, Inc | Nurse Practitioner | 125 Portman Ave, Stanford, KY 40484-1229 | 2014-08-12 |
| 1215369905 | The Women's Pavilion, Psc Aprn Group | Nurse Practitioner | 2200 E Parrish Ave Ste 201, Bldg B, Owensboro, KY 42303-1449 | 2013-08-05 |
| 1578716361 | Kentuckiana Perinatology Psc | Nurse Practitioner | 210 E Gray St Ste 602, Louisville, KY 40202-3902 | 2008-10-24 |
| 1831312362 | Tammy R Carr | Nurse Practitioner | 2603 Ky Ave, Suite 201, Paducah, KY 42003 | 2007-04-11 |
| 1912089095 | Ann Watson | Nurse Practitioner | 2200 E Parrish Ave Bldg B, Ste 201, Owensboro, KY 42303-1449 | 2006-10-19 |
| 1750474409 | Linda M. Ohlmann | Nurse Practitioner | 3900 Kresge Way #30, Louisville, KY 40207 | 2006-10-02 |
| 1073604096 | Karen Rene Burchett | Nurse Practitioner | 4328 13th St, Ashland, KY 41102-5432 | 2006-09-27 |
| 1023052305 | Roberta B Higgins | Nurse Practitioner | 795 Eastern Byp Ste 5, Richmond, KY 40475-2406 | 2006-06-16 |
| 1013969302 | Kerri Jo Neff | Nurse Practitioner | 1700 Nicholasville Rd Ste 701, Lexington, KY 40503-1467 | 2006-05-16 |
| Find all providers with the same taxonomy | ||||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
Please comment or provide details below to improve the information on EDNA JEAN PENCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.