Individual provider · Type 1 NPI

Mark Penninger, FNP

Family Nurse Practitioner · Fort Worth, TX

NPI number 1184010167 Active

Practice location

1500 Cooper St
Fort Worth, TX 76104-2710

Call (682) 885-6299 Map

Fax (682) 885-1090

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	AP127793 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1184010167

Mark Penninger, FNP's National Provider Identifier is 1184010167, issued on Apr 7, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Worth, TX. The record was last updated on Apr 19, 2021.