Individual provider · Type 1 NPI

Elly Jo Fennell, RN, CNP

Clinical Nurse Specialist · Indianapolis, IN

NPI number 1114245958 Active

Practice location

720 Eskenazi Ave
Indianapolis, IN 46202-5187

Mailing address

PO Box 637764
Cincinnati, OH 45263-7764

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X209.008173 (IL)
Clinical Nurse Specialist Primary 364S00000X71009460A (IN)
Registered Nurse 163W00000X041-280081 (IL)
Adult Health Nurse Practitioner 363LA2200X370911138 (IL)
Nurse Practitioner 363L00000X209.008173 (IL)

Clinical Nurse Specialist: A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.

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About NPI 1114245958

Elly Jo Fennell, RN, CNP's National Provider Identifier is 1114245958, issued on May 4, 2010. The primary taxonomy on file is Clinical Nurse Specialist (364S00000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 16, 2025.