Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. ELLY JO FENNELL, RN, CNP
ActiveMRS. ELLY JO FENNELL, RN, CNP is a Clinical Nurse Specialist healthcare provider located in INDIANAPOLIS, Indiana. NPI 1114245958 is currently active in the NPPES registry. Verify at CMS.
Clinical Nurse Specialist · INDIANAPOLIS, IN
Registration Details
- NPI Number
- 1114245958
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2010 (16.238882862732 yrs)
- Last Updated
- Sep 16, 2025
- Licenses
-
209.008173 (IL)71009460A (IN)041-280081 (IL)370911138 (IL)209.008173 (IL)
Practice Information
- Address
-
720 ESKENAZI AVEINDIANAPOLIS, IN, 462025187Browse IN providers · Browse ZIP 46202
- Phone
- 3178807666
- Primary Specialty
-
Clinical Nurse Specialist
364S00000X
- Additional Specialty
- Clinical Nurse Specialist
- Additional Specialty
- Registered Nurse
- Additional Specialty
- Adult Health Nurse Practitioner
- Additional Specialty
- Nurse Practitioner
Other Clinical Nurse Specialist Providers in INDIANAPOLIS, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. PENNI LORRAINE CREMER | PMHCNS-BC | 1710944863 |
| MRS. DIANNE REED | CNS | 1518917145 |
| JEAN M BANDOS | — | 1720039589 |
| DR. JOYCE A SCOTT | CNS | 1497790463 |
| JOAN M. BARR | NP | 1558384859 |
| MS. MIMI M BRITTINGHAM | LMFT, LMHC, CNS | 1447262746 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.