Pennock State Street Center
NPI 1932490885 belongs to Pennock State Street Center, a medical physician assistant with a practice location in Hastings, MI. The NPI was issued on April 27, 2011, and the record was last updated in NPPES on April 2, 2019. The record lists 2 taxonomy codes.
This record hasn't been updated in NPPES since 2019. Details may be out of date.
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | Not listed |
| Family Nurse Practitioner | 363LF0000X | Not listed |
Practice location
Local context
Active NPPES records list 78 providers with medical physician assistant as the primary taxonomy within 25 miles of this practice location's ZIP code, 7 of them within 10 miles.
The same primary taxonomy is listed by 1,190 in Michigan and 40,194 nationwide.
These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.
Record history
- Status
- Active
- NPI issued
- Last updated in NPPES
Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.
NPPES data as of · Source: CMS NPPES
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