Chancelyn S Penn, CNP
Chancelyn S Penn, CNP is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Louisiana and Mississippi.
- Years since qualifying
- 4
- Licensed in
- LA, MS
- In the registry since
- 2017
- Specialties on file
- 5
What do these letters mean?
- CNP — Certified Nurse Practitioner
- A certified nurse practitioner.
Practice location Address checks out
1520 29th Ave Ste 3Gulfport, MS 39501-2843
Phone: (601) 419-7665
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 906511 (MS) |
|---|---|
| General Practice Registered Nurse | Taxonomy 163WG0000X · Licence 110298 (LA) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 906511 (MS) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 227548 (LA) |
| Primary Care Nurse Practitioner | Taxonomy 363LP2300X · Licence 906511 (MS) |
Record details
| NPI number | 1487169678 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CNP |
| Sole proprietor | Yes |
| NPI enumerated | December 10, 2017 |
| Last updated in NPPES | May 20, 2024 |
| Certification date | May 20, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |