IndividualActive
Elly Fennell, RN, CNP
NPI 1114245958 · Clinical Nurse Specialist · Indianapolis, IN
Provider details
- NPI number
- 1114245958
- Entity type
- Individual
- Primary specialty
- Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, CNP
- Sex
- Female
- Sole proprietor
- No
- License
- 209.008173 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone: (317) 880-7666
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 637764
Cincinnati, OH 45263-7764
Registry dates
- Enumerated
- 2010-05-04
- Last updated
- 2025-09-16
- Certified
- 2025-09-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.