Individual
EMILY GRACE PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4800 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
Mailing address
4800 S 109TH EAST AVE, TULSA, OK 74146-5822
(918) 392-1400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5790
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/10/2023
Last updated
04/15/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us