Dr. Jacqueline Maria Fennerty is a Elmira, Oregon based female podiatrist who is specialized in Podiatry. Active license number of Dr. Jacqueline Maria Fennerty for Podiatry is DP00292 in Oregon. Dr. Jacqueline Maria Fennerty is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. She diagnose and treat foot diseases and deformities. She can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Jacqueline Maria Fennerty speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Gender:
Female
Practice Address:
25121 Tripp Rd, Elmira, Oregon, 97437-9612
Phone:
541-521-9387
Fax:
541-302-9481
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1992871495
NPI Enumeration Date:
27 Nov, 2006
NPI Last Update On:
12 Jan, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jacqueline Maria Fennerty are as mentioned below.
License Number
Specialization
State
Status
DP00292
Podiatry
Oregon
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jacqueline Maria Fennerty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
150584
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
25121 Tripp Rd, Elmira, Oregon
Zip:
97437-9612
Phone Number:
415-219-3875
Fax Number:
541-302-9481
Patients can reach Dr. Jacqueline Maria Fennerty at 25121 Tripp Rd, Elmira, Oregon or can call to book an appointment on 541-521-9387. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.