Chancelyn S Penn, DHA, MSN, FNP-BC - Nurse Practitioner in Gulfport, MS

Chancelyn S Penn, DHA, MSN, FNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Gulfport, Mississippi. Chancelyn S Penn is licensed to practice in Mississippi (license number 906511) and her current practice location is 1520 29th Ave Ste 3, Gulfport, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 479-7665.

NPI number for Chancelyn S Penn is 1487169678 and her current mailing address is 3700 Orleans Ave Apt 5438, New Orleans, Louisiana. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487169678.

Contact Information

Chancelyn S Penn, DHA, MSN, FNP-BC
1520 29th Ave Ste 3,
Gulfport, MS 39501-2843
(601) 479-7665
Not Available

Map and Direction




Provider's Profile

Full NameChancelyn S Penn
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1520 29th Ave Ste 3, Gulfport, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487169678
  • Provider Enumeration Date: 12/10/2017
  • Last Update Date: 04/10/2024

Medical Identifiers

Medical identifiers for Chancelyn S Penn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487169678NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice 110298 (Louisiana)Secondary
363L00000XNurse Practitioner 906511 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family 227548 (Louisiana)Secondary
363LP2300XNurse Practitioner - Primary Care 906511 (Mississippi)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 906511 (Mississippi)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. Chancelyn S Penn 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 AddressPractice Location Address
Chancelyn S Penn, DHA, MSN, FNP-BC
3700 Orleans Ave Apt 5438,
New Orleans, LA 70119-4871

Ph: (504) 295-0304
Chancelyn S Penn, DHA, MSN, FNP-BC
1520 29th Ave Ste 3,
Gulfport, MS 39501-2843

Ph: (601) 479-7665

Reviews and Comments


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