Elly Jo Fennell, RN, CNP Valid NPI

Individual provider · Clinical Nurse Specialist · Indianapolis, IN

NPI

1114245958

Type

Individual (Type 1)

Primary specialty

Clinical Nurse Specialist

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

364S00000X

License number

71009460A (IN)

Sex

Female

Sole proprietor

No

Enumerated

2010-05-04

Last updated

2025-09-16