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

Individual provider Medical Physician Assistant · NPI 1255696910

Miss. Jody Lynn Pennycook, PA is a Medical Physician Assistant in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4740 Hoen Ave
Santa Rosa, CA 95405-7824
Phone: (707) 542-2783
Fax: (707) 542-7976
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA22225 (CA)

Record details

NPI number1255696910
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 9, 2012
Last updated in NPPESJuly 9, 2012

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