Provider Demographics
NPI:1912860040
Name:PENSON, RODNESHA MARKALON (LVN/LPN)
Entity type:Individual
Prefix:
First Name:RODNESHA
Middle Name:MARKALON
Last Name:PENSON
Suffix:
Gender:F
Credentials:LVN/LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 GREENVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75050-2439
Mailing Address - Country:US
Mailing Address - Phone:469-251-1734
Mailing Address - Fax:972-642-5183
Practice Address - Street 1:815 GREENVIEW DR
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75050-2439
Practice Address - Country:US
Practice Address - Phone:469-251-1734
Practice Address - Fax:972-642-5183
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-05
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX313803164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse