Emily Daffron Fortenberry, NP
Nurse Practitioner, Gerontology in Talladega, AL. Individual provider (NPI-1).
NPI number1871069096
StatusActive
Last updated in NPPESMar 23, 2026
Details
- NPI
- 1871069096
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Emily Daffron Fortenberry
- Credential
- NP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2018
- Certification date
- Mar 23, 2026
- Last updated
- Mar 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 1-125066 | AL | Yes |
| 363L00000X | Nurse Practitioner | 1206590 | TX | |
| 363LA2100X | Nurse Practitioner, Acute Care | GAA-NP004269 | GA | |
| 363L00000X | Nurse Practitioner | 1-125066 | AL |
Practice location
604 Stone AveTalladega, AL 35160-2217
Phone 256-458-2155
Mailing address
3657 Hall DrSouthside, AL 35907-0817
Phone 256-458-2155
Other practice locations
1007 Goodyear Ave
Gadsden, AL 35903-1195
Gadsden, AL 35903-1195
Phone 256-494-4775
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