Provider Demographics
NPI:1427929884
Name:INVIGORATE WEIGHT LOSS & WELLNESS
Entity type:Organization
Organization Name:INVIGORATE WEIGHT LOSS & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:PENNINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:501-288-9651
Mailing Address - Street 1:304 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CABOT
Mailing Address - State:AR
Mailing Address - Zip Code:72023-3035
Mailing Address - Country:US
Mailing Address - Phone:501-288-9651
Mailing Address - Fax:501-441-2325
Practice Address - Street 1:905 20TH ST
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:AR
Practice Address - Zip Code:72501-7008
Practice Address - Country:US
Practice Address - Phone:501-288-9651
Practice Address - Fax:501-441-2325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty