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MRS. JENELLE HALEY STEFANSKI FNP-BC
NPI 1477988590
Nurse Practitioner - Family in Granger, IN

Active since September 09, 2013
6913 N MAIN ST STE 100, GRANGER, IN 46530(574) 647-6400(574) 647-2951 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 5, 2019, Dec 15, 2015 (2 updates tracked since 2015).

About Mrs. Jenelle Haley Stefanski Fnp-bc NPPES

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

MRS. JENELLE HALEY STEFANSKI FNP-BC (NPI 1477988590) is an individual family provider in Granger, Indiana, licensed in Indiana (71004799A) and active in the NPI registry since September 2013. She maintains a secondary practice location in Goshen.

NPPES Registry Identity

NPI1477988590
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JENELLE HALEY STEFANSKICredential: FNP-BC
Location Address6913 N MAIN ST STE 100Granger, IN 46530-8039
Mailing Address710 N Niles AveSouth Bend, IN 46617-1924 · (574) 647-1610 · Fax (574) 237-6069
Phone(574) 647-6400
Fax(574) 647-2951
Sole ProprietorNo
Enumeration DateSeptember 9, 2013
Last NPPES UpdateFebruary 5, 20192 updates tracked since enumeration
✔ NPI 1477988590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in IN · 71004799A✔ Licensed in MI · 2013007660
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704278821 (MI)
6913 N MAIN ST STE 100, Granger, IN 46530
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Other Names 1

Former Name (1)Jenelle Haley Strefling Fnp-bc

Secondary Practice Location 1

Location 11527 Bashor RdGoshen, IN 46528-1902 · Phone (574) 533-0120 · Fax (574) 533-0121

Other Identifiers 1

Medicaid201215000IN

Other Providers at the Same Location NPPES 2

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

BEACON MEDICAL GROUP, INC.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6913 N MAIN ST STE 100
GRANGER, IN 46530
St. Joseph County (574) 647-6400
KARI LEA SCULATI FNP-BC
Nurse Practitioner (Family)
6913 N MAIN ST STE 100
GRANGER, IN 46530
St. Joseph County (574) 647-3376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenelle Stefanski's NPI number?

The NPI number for Jenelle Stefanski is 1477988590. It was assigned to this individual provider in the NPPES registry on September 9, 2013. The provider is also known as Jenelle Haley Strefling Fnp-Bc.

Where is Jenelle Stefanski located?

Jenelle Stefanski practices at 6913 N Main St Ste 100, Granger, IN 46530. The listed phone number is (574) 647-6400.

What is Jenelle Stefanski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jenelle Stefanski was last updated on February 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.