ELLY JO FENNELL

INDIANAPOLIS, IN
NPI1114245958
Former NameELLY J WEAR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364S00000X Clinical Nurse Specialist
(Licence: IN  71009460A)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209.008173)
163W00000X Registered Nurse
(Licence: IL  041-280081)
363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  370911138)
363L00000X Nurse Practitioner
(Licence: IL  209.008173)
Enumeration Date2010-05-04
Last Update Date2025-09-16
Business Address
Mrs. ELLY JO FENNELL RN, CNP
720 ESKENAZI AVE
INDIANAPOLIS, IN 46202-5187
Phone number: 317-880-7666
Mailing Address
Mrs. ELLY JO FENNELL RN, CNP
PO BOX 637764
CINCINNATI, OH 45263-7764
Phone number: 317-880-3939