| Dr Janice Marion Penn, PHD | |
|
4101 Barbara Loop Se, Suite D, Rio Rancho, NM 87124-1009 | |
| (505) 892-3639 | |
| (505) 892-6348 |
| Full Name | Dr Janice Marion Penn |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Adult |
| Location | 4101 Barbara Loop Se, Rio Rancho, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144297771 | NPI | - | NPPES |
| 98648 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | R14768 (New Mexico) | Primary |
| Entity Name | Guidance Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760421168 PECOS PAC ID: 5597760561 Enrollment ID: O20060926000110 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Janice Marion Penn, PHD 4101 Barbara Loop Se, Suite D, Rio Rancho, NM 87124-1009 Ph: (505) 892-3639 | Dr Janice Marion Penn, PHD 4101 Barbara Loop Se, Suite D, Rio Rancho, NM 87124-1009 Ph: (505) 892-3639 |
Pamela M Conry, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: Pmg High Resort 4005, 4005 High Resort Blvd, Rio Rancho, NM 87124 Phone: 505-462-6000 Fax: 505-462-8470 | |
Nicole Allen, PAC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1721 Rio Rancho Nw, Rio Rancho, NM 87112 Phone: 505-727-3500 Fax: 505-727-3505 |