REGINALD FENNELL RN, MSN, PHD, FNP-BC
NPI 1316589203
Nurse Practitioner in Durham, NC

Q: What is Reginald Fennell's NPI number?

The NPI number for Reginald Fennell is 1316589203. It was assigned to this individual provider in the NPPES registry on October 11, 2019.

Q: What is Reginald Fennell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Reginald Fennell was last updated on November 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 11, 2019

1801 FAYETTEVILLE ST, DURHAM, NC 27707(919) 530-6317(919) 530-7969 Get Directions Write a Review

NPPES record last updated: November 1, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 1, 2019, Oct 11, 2019 (2 updates tracked since 2019).

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About Reginald Fennell Rn, Msn, Phd, Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGINALD FENNELL RN, MSN, PHD, FNP-BC (NPI 1316589203) is an individual nurse practitioner in Durham, North Carolina, licensed in North Carolina (5012410) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1316589203

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameREGINALD FENNELLCredential: RN, MSN, PHD, FNP-BC

Location Address1801 FAYETTEVILLE STDurham, NC 27707-3129

Mailing AddressPo Box 19491Durham, NC 27707-0020 · (919) 530-6317 · Fax (919) 530-7969

Phone(919) 530-6317

Fax(919) 530-7969

Sole ProprietorNo

Enumeration DateOctober 11, 2019

Last NPPES UpdateNovember 1, 20192 updates tracked since enumeration

✔ NPI 1316589203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 5012410

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1801 FAYETTEVILLE ST, Durham, NC 27707

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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ADRIAN GADDIS LAT, ATC

Specialist/Technologist (Athletic Trainer)

1801 FAYETTEVILLE ST, B103 WALKER COMPLEX
DURHAM, NC 27707

Durham County (919) 530-6215

LORIANNE TANT LAT, ATC

Specialist/Technologist (Athletic Trainer)

1801 FAYETTEVILLE ST, B103 WALKER COMPLEX
DURHAM, NC 27707

Durham County (919) 530-6215

MR. SEAN THOMAS ATC

Specialist/Technologist (Athletic Trainer)

1801 FAYETTEVILLE ST, BOX 19705
DURHAM, NC 27707

Durham County (919) 530-6215

DR. CAROLYN MOORE PH.D.

Psychologist (Clinical)