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General NPI Number Information
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NPI Number | 1760884282
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Entity Type | Individual
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Provider Name | PENELOPE MCCLENDON MSN, APRN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/17/2014
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 440 RAYFORD RD STE 150
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City | SPRING
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State | TX
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Zip | 77386-4169
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Country | US
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Telephone | 936-539-4004
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Fax | 281-419-1395
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Provider Business Mailing Address
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Address Line | 605 S CONROE MEDICAL DR
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City | CONROE
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State | TX
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Zip | 77304-4722
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Country | US
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Telephone | 936-539-4004
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Fax | 936-539-3635
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP126322
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License Number State | TX
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