Provider Demographics
NPI:1033580832
Name:JONES, PENNY WOODWORTH (RN, NP-C)
Entity Type:Individual
Prefix:
First Name:PENNY
Middle Name:WOODWORTH
Last Name:JONES
Suffix:
Gender:F
Credentials:RN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3138
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27515-3138
Mailing Address - Country:US
Mailing Address - Phone:919-697-6015
Mailing Address - Fax:
Practice Address - Street 1:3912 KETTERING DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-8029
Practice Address - Country:US
Practice Address - Phone:919-697-6015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-19
Last Update Date:2019-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCJONE-M3JEHA363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care