Individual
PENNY PICKLE KRISPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN NP-C
Contact information
Practice address
2827 POPLAR ST, GREENVILLE, TX 75402-8952
(903) 450-0710
(903) 306-1168
Mailing address
2827 POPLAR ST, GREENVILLE, TX 75402-8952
(903) 450-0710
(903) 306-1168
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
510151
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
510151
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
380143302
—
TX
Enumeration date
07/11/2013
Last updated
12/29/2025
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