IndividualActive
Pennie Clinton
NPI 1912248758 · Community Health Registered Nurse · Saint Louis, MO
Provider details
- NPI number
- 1912248758
- Entity type
- Individual
- Primary specialty
- Community Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2009006104 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
6121 N Hanley Rd
Saint Louis, MO 63134-2003
Phone: (314) 679-7880
Approximate (ZIP-level) locationGet directions
Mailing address
6121 N Hanley Rd
Saint Louis, MO 63134-2003
Registry dates
- Enumerated
- 2013-03-04
- Last updated
- 2013-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.