Jennifer Johanna Penne
APN | Nurse Practitioner | 16+ years Exp
2566 E Joyce Blvd, Fayetteville
Arkansas, 72703-4553
479-935-1000
Jennifer Johanna Penne is a Fayetteville, Arkansas based nurse practitioner with 16 years of experience in Nurse Practitioner. She completed her graduation from University Of Missouri, Columbia School Of Medicine in 2009. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jennifer Johanna Penne is A003632 for Psych/Mental Health in Arkansas. Her current practice location is 2566 E Joyce Blvd, Fayetteville. Patients can reach her at 479-935-1000 or can fax her at 479-935-2000. Jennifer Johanna Penne is APN with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1497968101.
Jennifer Johanna Penne has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Jennifer Johanna Penne speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Jennifer Johanna Penne |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | APN |
| Experience: | 16+ years |
| Medical School Attended: | University Of Missouri, Columbia School Of Medicine |
| Graduation Year: | 2009 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 2566 E Joyce Blvd, Fayetteville,
Arkansas, 72703-4553 |
| Phone: | 479-935-1000 |
| Fax: | 479-935-2000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 9133383557 |
| Enrollment ID: | I20120615000304 |
| NPI Number: | 1497968101 |
| NPI Enumeration Date: | 08 May, 2007 |
| NPI Last Update On: | 19 Sep, 2022 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jennifer Johanna Penne are as mentioned below.
| License Number | Specialization | State | Status | |
| A003632 | Psych/Mental Health | Arkansas | Primary | |
| R 72401 | Registered Nurse | Arkansas | Secondary | |
| 2021008266 | Psych/Mental Health | Missouri | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Jennifer Johanna Penne is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Reding And Leach Md Pllc (7012258627) | 20 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Jennifer Johanna Penne such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 193306758 | Medicaid | Arkansas | |
| 420094195 | Medicaid | Missouri | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jennifer Johanna Penne
2566 E Joyce Blvd,
Fayetteville, Arkansas |
| Zip: | 72703-4553 |
| Phone Number: | 479-935-1000 |
| Fax Number: | 479-935-2000 |
Patients can reach Jennifer Johanna Penne at
2566 E Joyce Blvd, Fayetteville, Arkansas or can
call to book an appointment on 479-935-1000.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.