Jeannie Pence, CANP

NPI: 1063637106

Jeannie Pence, CANP

Q: What is Jeannie Pence's NPI number?

Jeannie Pence's NPI number is 1063637106, a unique 10-digit identifier issued by CMS.

Q: What does Jeannie Pence specialize in?

Jeannie Pence specializes in Nurse Practitioner, taxonomy code 363LA2200X.

Q: Where does Jeannie Pence practice?

Jeannie Pence practices in Tupelo, MS 38801-6560.

Q: When was Jeannie Pence's NPI issued?

Jeannie Pence's NPI was issued on April 16, 2007.

Q: What is Jeannie Pence's provider type?

Jeannie Pence is an Individual Provider under CMS NPI Type 1.

ActiveIndividual ProviderNurse Practitioner

NPI issued: April 16, 2007

Quick Facts

NPI Number

1063637106

TypeIndividual

StatusActive

SpecialtyNurse Practitioner

Taxonomy363LA2200X — Nurse Practitioner

Phone

(662) 844-4711

StateMS

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1063637106)

✅Active status confirmed

✅Verified by CMS NPPES Registry

✅HIPAA compliant identifier

✅Enumeration date on file (April 16, 2007)

Data source: CMS NPPES

Provider Overview

JEANNIE PENCE, CANP is a Nurse Practitioner provider based in Tupelo, MS who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1063637106

Provider TypeIndividual Provider

GenderFemale

CredentialCANP

StatusActive

Enumeration DateApril 16, 2007

Practice Location

CityTupelo

StateMS

ZIP Code38801-6560

Phone(662) 844-4711

Specialties & Licenses

★ Primary

SpecialtyNurse Practitioner

Taxonomy Code363LA2200X

License StateMS

Mailing Address

CityTupelo

StateMS

ZIP Code38801-6560

Phone(662) 844-4711

Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1063637106 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1063637106for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1063637106 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

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