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

Jetta Nicole Pennington

Individual provider Family Nurse Practitioner · NPI 1790555761

Jetta Nicole Pennington is a Family Nurse Practitioner in Fisherville, Kentucky. Licensed in Kentucky. Registered with an NPI since 2024.

Licensed in
KY
In the registry since
2024

Practice location Address checks out

2303 Champion Hill Pl
Fisherville, KY 40023-8801
Phone: (606) 831-1553
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4014463 (KY)

Record details

NPI number1790555761
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 2, 2024
Last updated in NPPESJanuary 2, 2024
Certification dateJanuary 2, 2024

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