Individual provider · Type 1 NPI
Jennifer Johanna Penne, APN
Psychiatric/Mental Health Nurse Practitioner · Fayetteville, AR
NPI number
1497968101
Active
Practice location
2566 E Joyce Blvd
Fayetteville, AR 72703-4553
Fax (479) 935-2000
Other practice locations
- 105 N Mill Ave, Fayetteville, AR 72701-4273 · (479) 713-8350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R 72401 (AR) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2021008266 (MO) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | A003632 (AR) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1497968101
Jennifer Johanna Penne, APN's National Provider Identifier is 1497968101, issued on May 8, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fayetteville, AR. The record was last updated on Sep 19, 2022.