Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Iaisha Penn

Individual provider Family Nurse Practitioner · NPI 1841079001

Iaisha Penn is a Nurse Practitioner in Martinsville, Virginia. Qualified in 2023, 3 years ago. Practices with Martinsville Physician Practices LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
3
Licensed in
VA
In the registry since
2023
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Practice location Address checks out

110 Commonwealth Blvd W
Martinsville, VA 24112-1832
Phone: (276) 666-7328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024189126 (VA)

Record details

NPI number1841079001
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2023
Last updated in NPPESJanuary 4, 2024
Certification dateJanuary 4, 2024
Mailing address110 Commonwealth Blvd W, Martinsville, VA 24112-1832

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Martinsville Physician Practices Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Martinsville