Active NPIIndividual provider

Jessica Fennell

Pediatrics, Pediatric Rheumatology in Hartford, Connecticut

NPI Number1790148914
Practice location
282 Washington St, Hartford, CT 06106-3322
Fax
—
Last updated
December 24, 2024

Jessica Fennell is a Pediatrics, Pediatric Rheumatology based in Hartford, CT. Jessica Fennell practices in Hartford, CT. The NPI Number for Jessica Fennell is 1790148914 and holds a License No. 70529 (CT). The current practice location address for Jessica Fennell is 282 Washington St, Hartford, CT 06106-3322 and can be reached out via phone at 860-545-9970.

Provider Profile Details

NPI Number
1790148914
Provider Name
Jessica Fennell
Provider Entity Type
Individual
Gender
Female
Address
282 Washington St, Hartford, CT 06106-3322
Phone Number
860-545-9970
Primary Taxonomy
Pediatrics, Pediatric Rheumatology · 2080P0216X
Sole Proprietor
No
Provider Enumeration Date
April 4, 2016
Last Update Date
December 24, 2024
Certification Date
December 24, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
282 Washington St
Hartford, CT 06106-3322
Zip
06106-3322
Phone Number
860-545-9970
Hartford, CT 06106Get directions →

Provider Business Mailing Address Details

Address
535 E 70TH St
New York, NY 10021-4823
City
New York
State
NY
Zip
10021-4823
Phone Number
917-260-3909
Fax Number
917-260-4522

License Information

License Number (1)
70529
License State (1)
CT
Taxonomy (1)
Pediatrics · 208000000X
License Number (2)
107775809
License State (2)
CT
License Number (3)
70529
License State (3)
CT
Taxonomy (3)
Pediatrics, Pediatric Rheumatology · 2080P0216X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jessica Fennell?

The NPI number of Jessica Fennell is 1790148914. It was assigned on April 4, 2016 and is currently active in the NPPES registry.

What is the specialty of Jessica Fennell?

Jessica Fennell is registered under the primary taxonomy Pediatrics, Pediatric Rheumatology (code 2080P0216X), licensed in CT under license number 70529.

Where does Jessica Fennell practice?

The practice location is 282 Washington St, Hartford, CT 06106-3322. The office can be reached at 860-545-9970 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790148914 directly on the NPPES registry website.

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