IndividualActive
Jacqueline Fennerty, DPM
NPI 1992871495 · Podiatrist · Springfield, OR
Provider details
- NPI number
- 1992871495
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Female
- Sole proprietor
- Yes
- License
- DP00292 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
1435 G St
Springfield, OR 97477-4113
Phone: (541) 735-9420
Approximate (ZIP-level) locationGet directions
Mailing address
25121 Tripp Rd
Elmira, OR 97437-9612
Additional practice locations (1)
- 25121 Tripp RdElmira, OR 97437-9612Phone: (541) 521-9387Fax: (541) 302-9481
Registry dates
- Enumerated
- 2006-11-27
- Last updated
- 2025-01-14
- Certified
- 2025-01-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.