JILLIAN MICHELLE FENNER NPI 1417304254

NPI Information

  • NPI: 1417304254
  • Provider Name: JILLIAN MICHELLE FENNER
  • Classification: Technician, Other - 247200000X
  • Entity Type: Individual
  • Address: 15023 21 MILE RD
    SHELBY TOWNSHIP, MI
    ZIP 48315
  • Phone: (586) 286-9644

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NPI Details

Jillian Michelle Fenner is a technician other in Shelby Township, MI. The provider is a collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. Jillian Michelle Fenner NPI is 1417304254. 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:

15023 21 MILE RD
SHELBY TOWNSHIP, MI
ZIP 48315-024
Phone: (586) 286-9644

The enumeration date for this NPI number is 5/23/2016 and was last updated on 5/24/2021.

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
1247200000XTechnician, OtherYes

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: 11/21/2025

NPI Synchronization or Removal

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