MRS. JENELL SUZANNE FITZGERALD CPNP NPI 1255667895

NPI Information

NPI: 1255667895
Provider Name: MRS. JENELL SUZANNE FITZGERALD, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
6855 SPRING VALLEY DR STE 125
HOLLAND, OH
ZIP 43528
Phone: (419) 389-1444
Get Directions

MRS. Jenell Suzanne Fitzgerald, CPNP is a pediatrics nurse practitioner in Holland, OH. MRS. Jenell Suzanne Fitzgerald, CPNP NPI is 1255667895. 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:

6855 SPRING VALLEY DR STE 125
HOLLAND, OH
ZIP 43528-374
Phone: (419) 389-1444
Fax: (419) 407-3515

The NPI 1255667895 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/1/2009 and was last updated on 3/11/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	NP-10253	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0092633	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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