Individual provider · Type 1 NPI

Penny Johnsrud, FNP

Family Nurse Practitioner · Gresham, OR

NPI number 1851317598 Active

Practice location

501 NE Hood Ave, Suite 100
Gresham, OR 97030-7303

Fax (503) 788-7285

Mailing address

3727 NE Martin Luther King Jr Blvd, Attn: Credentialing
Portland, OR 97212-1112

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X095006656N1 (OR)
Family Nurse Practitioner 363LF0000XAP30005364 (WA)

Family Nurse Practitioner: Definition to come...

10 other providers at this address

Other family nurse practitioner providers in Gresham

See all in Gresham →

About NPI 1851317598

Penny Johnsrud, FNP's National Provider Identifier is 1851317598, issued on Jul 14, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gresham, OR. The record was last updated on Nov 11, 2011.