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Contact Information

MARY K FENNELL, APN
1620 WESTGATE CIR
BRENTWOOD, TN37027-8035
 Phone: 629-255-2271
 Fax: 629-255-4279
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY K FENNELL · (Female)

NPI Number 1255028262
Status Active
Credentials APN
Entity Individual
Enumeration date 04/19/2023
Last updated 01/17/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • TN License # 37653
  • TN Medicaid Q098661
  • TN Other 37653 APN LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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