DR. Jacqueline Ann Fenn, MD PHD is a student in an organized health care education training program in Champaign, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jacqueline Ann Fenn, MD PHD NPI is 1235710666. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1612 CHEVY CHASE DR
CHAMPAIGN, IL
ZIP 61821-955
Phone: (773) 892-9187
The enumeration date for this NPI number is 4/17/2021 and was last updated on 4/17/2021.