Elly Fennell, RN, CNP

Individual Active
NPI 1114245958
Clinical Nurse Specialist Indianapolis, IN

NPI 1114245958 belongs to Elly Fennell, RN, CNP, a clinical nurse specialist with a practice location in Indianapolis, IN. The NPI was issued on May 4, 2010, and the record was last updated in NPPES on September 16, 2025. The record lists 5 taxonomy codes.

Taxonomies and licenses

TaxonomyCodeLicense
Clinical Nurse Specialist Primary 364S00000X 71009460A (IN)
Adult Health Nurse Practitioner 363LA2200X 209.008173 (IL)
Registered Nurse 163W00000X 041-280081 (IL)
Adult Health Nurse Practitioner 363LA2200X 370911138 (IL)
Nurse Practitioner 363L00000X 209.008173 (IL)

Practice location

720 Eskenazi Ave
Indianapolis, IN 46202-5187
Phone: (317) 880-7666

Local context

Active NPPES records list 34 providers with clinical nurse specialist as the primary taxonomy within 25 miles of this practice location's ZIP code, 25 of them within 10 miles.

The same primary taxonomy is listed by 68 in Indiana and 1,928 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Mrs. Elly Jo Fennell
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

Building software? Fetch this NPI programmatically with the NPILayer Provider API.

curl
curl -H "Authorization: Bearer YOUR_API_KEY" \
  "https://api.npilayer.com/v1/providers/1114245958"

See the API · Get a free API key