Individual provider · Type 1 NPI

Nicole S. Fennell, NP

Nurse Practitioner · Dothan, AL

NPI number 1619376274 Active

Practice location

1108 Ross Clark Cir
Dothan, AL 36301-3022

Fax (334) 699-4387

Mailing address

PO Box 1928
Dothan, AL 36301-3022

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1-120271 (AL)
Nurse Practitioner 363L00000XARNP9382028 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1619376274

Nicole S. Fennell, NP's National Provider Identifier is 1619376274, issued on Aug 20, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Dothan, AL. The record was last updated on Jan 4, 2016.