Individual provider · Type 1 NPI

Emily Daffron Fortenberry, NP

Gerontology Nurse Practitioner · Talladega, AL

NPI number 1871069096 Active

Practice location

604 Stone Ave
Talladega, AL 35160-2217

Mailing address

3657 Hall Dr
Southside, AL 35907-0817

Other practice locations

  • 1007 Goodyear Ave, Gadsden, AL 35903-1195 · (256) 494-4775

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X1206590 (TX)
Gerontology Nurse Practitioner Primary 363LG0600X1-125066 (AL)
Acute Care Nurse Practitioner 363LA2100XGAA-NP004269 (GA)
Nurse Practitioner 363L00000X1-125066 (AL)

Gerontology Nurse Practitioner: Definition to come...

23 other providers at this address

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About NPI 1871069096

Emily Daffron Fortenberry, NP's National Provider Identifier is 1871069096, issued on Oct 15, 2018. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Talladega, AL. The record was last updated on Mar 23, 2026.