Fitzgerald, Jenell Suzanne

Fitzgerald, Jenell Suzanne is an individual health care provider with primary practice located at 6855 Spring Valley Dr Ste 125 , Holland OH 43528-9374. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fitzgerald, Jenell Suzanne can be contacted via phone (419) 389-1444.

Contact Information

Primary practice address
6855 Spring Valley Dr Ste 125 Holland OH 43528-9374
Phone: (419) 389-1444
Fax: (419) 407-3515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X NP-10253 Ohio

Profile Details

NPI number 1255667895
LBN Legal business name Fitzgerald, Jenell Suzanne
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2009
Last updated Mar 11th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255667895 NPPES
Ohio MEDICAID 0092633

Popular Providers