Mrs. Elly Jo Fennell is a Indianapolis, Indiana based nurse practitioner with 16 years of experience in . She completed her graduation 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 Mrs. Elly Jo Fennell is 71009460A in Indiana. Her current practice location is 720 Eskenazi Ave, Indianapolis. Patients can reach her at 317-880-7666. Mrs. Elly Jo Fennell is RN, CNP and her NPI number (Unique professional ID assigned by NPPES) is 1114245958. Mrs. Elly Jo Fennell 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:
Mrs. Elly Jo Fennell speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
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:
6103013602
Enrollment ID:
I20191113002644
NPI Number:
1114245958
NPI Enumeration Date:
04 May, 2010
NPI Last Update On:
18 Nov, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Elly Jo Fennell are as mentioned below.
License Number
Specialization
State
Status
71009460A
Indiana
Primary
209.008173
Nurse Practitioner
Illinois
Secondary
209.008173
Adult Health
Illinois
Secondary
370911138
Adult Health
Illinois
Secondary
041-280081
Registered Nurse
Illinois
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(150024)
Indianapolis, IN
Acute Care Hospital
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 Mrs. Elly Jo Fennell is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Eskenazi Medical Group Inc (4284546813)
126
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Elly Jo Fennell such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
041-280081
Other
Illinois
RN LICENSE
036102163
Medicaid
Illinois
209.008173
Other
Illinois
CNP LICENSE
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mrs. Elly Jo Fennell 3900 St Francis Way Ste 205, Lafayette, Indiana
Zip:
47905-4939
Phone Number:
765-428-2500
Fax Number:
765-428-2505
Patients can reach Mrs. Elly Jo Fennell at 720 Eskenazi Ave, Indianapolis, Indiana or can call to book an appointment on 317-880-7666.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.