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

Philip Penn, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1124766738

Philip Penn, APRN, FNP-C is a Nurse Practitioner in Lexington, Kentucky. Qualified in 2021, 5 years ago. Practices with Abode Care Partners Ltc Vb LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3300 Tates Creek Rd
Lexington, KY 40502-3408
Phone: (859) 266-2126
Fax: (859) 266-5353
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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 3017636 (KY)

Record details

NPI number1124766738
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , FNP-C
Sole proprietorNo
NPI enumeratedMay 24, 2022
Last updated in NPPESMay 24, 2022
Certification dateMay 11, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Abode Care Partners Ltc Vb Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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