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Kimberly S Penland, FNP-BC,PHD
Nurse Practitioner in Fort Wayne, Indiana
NPI 1467443036

Kimberly S Penland is a Nurse Practitioner based in Fort Wayne, IN. Kimberly S Penland practices in Fort Wayne, IN and has the professional credentials of FNP-BC,PHD. The NPI Number for Kimberly S Penland is 1467443036 and holds a License No. 71001183A (Indiana).

The current practice location address for Kimberly S Penland is 5110 N Clinton St, Fort Wayne, IN and can be reached out via phone at 260-469-6605 and via fax at 260-969-3066.

Location: 5110 N Clinton St, Fort Wayne, IN, 46845-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467443036
Provider Name
Kimberly S Penland
Credential
FNP-BC,PHD
Provider Entity Type
Individual
Gender
Female
Address
5110 N Clinton St, Fort Wayne, IN, 46845-1701
Phone Number
260-469-6605
Fax Number
260-969-3066
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500024449 01 IN RR MEDICARE
000000368990 01 IN ANTHEM
200329110 05 IN
institution
Provider Business Practice Location Address Details
Address
5110 N Clinton St
City
Fort Wayne
State
Indiana
Zip
46825-5720
Phone Number
260-469-6605
Fax Number
260-969-3066
person
Provider Business Mailing Address Details
Address
5110 N Clinton St
City
Fort Wayne
State
Indiana
Zip
46825-5720
Phone Number
260-469-6605
Fax Number
260-969-3066
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71001183A (Indiana)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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