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

Tynise La'Shaie Penn, NP

Individual provider Adult Health Nurse Practitioner · NPI 1073841011

Tynise La'Shaie Penn, NP is a Nurse Practitioner in Southfield, Michigan. Qualified in 2009, 17 years ago. Practices with Commerce Sports and Spine PLLC, a 12-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
17
Licensed in
MI
In the registry since
2009
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

29877 Telegraph Rd Ste 401
Southfield, MI 48034-7661
Phone: (248) 294-0539
Fax: (248) 934-1390
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 405 W Greenlawn Ave Ste G11, Lansing, MI 48910-2889 — (313) 346-4240

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704240129 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 4704240129 (MI)

Record details

NPI number1073841011
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedDecember 3, 2009
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Commerce Sports And Spine Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Southfield