JORDAN LYN FENNEY
NPI 1912410028
Student in an Organized Health Care Education/Training Program in West Bend, WI

Active since November 10, 2017
4907 HILLSIDE DR, WEST BEND, WI 53095(262) 224-5151(262) 224-5151 Get Directions Write a Review

NPPES record last updated: November 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jordan Lyn Fenney NPPES

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

JORDAN LYN FENNEY (NPI 1912410028) is an individual student in an organized health care education/training program in West Bend, Wisconsin and active in the NPI registry since November 2017.

NPPES Registry Identity

NPI1912410028
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJORDAN LYN FENNEY
Location Address4907 HILLSIDE DRWest Bend, WI 53095-9255
Mailing Address4907 Hillside DrWest Bend, WI 53095-9255 · (262) 224-5151
Fax(262) 224-5151
Sole ProprietorNo
Enumeration DateNovember 10, 2017
NPI 1912410028 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
4907 HILLSIDE DR, West Bend, WI 53095

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 Jordan Fenney's NPI number?

The NPI number for Jordan Fenney is 1912410028. It was assigned to this individual provider in the NPPES registry on November 10, 2017.

Where is Jordan Fenney located?

Jordan Fenney practices at 4907 Hillside Dr, West Bend, WI 53095. The listed phone number is (262) 224-5151.

What is Jordan Fenney's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jordan Fenney was last updated on November 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.