Individual
EMILY M PENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-5001
(682) 885-5181
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP117297
TX
363LP0200X
Pediatric Nurse Practitioner
669164
TX
Other
Enumeration date
04/17/2009
Last updated
05/06/2026
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