MRS. Elly Jo Fennell, RN, CNP
NPI #1114245958 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1114245958
- Entity Type
- Individual
- Name
- MRS. Elly Jo Fennell, RN, CNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Clinical Nurse Specialist
- Credential
- RN, CNP
- Enumeration Date
- May 4, 2010
- Last Updated
- Sep 16, 2025
Practice Location
- Address
- 720 ESKENAZI AVE
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46202-5187
- Phone
- (317) 880-7666
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
| Clinical Nurse Specialist |
| Registered Nurse |
| Nurse Practitioner |
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