MEDICARE: JENNIFER ELIZABETH FEELY NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP127298	TX

General Provider Information

NPI Number	:	1093107062
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER ELIZABETH FEELY NP-C

Provider Business Mailing Address
First Line	:	1512 SNOWY PLOVER
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79928-5838
Country	:	US
Telephone Number	:	915-539-4027
Fax Number	:

Provider Business Practice Location Address
First Line	:	7812 GATEWAY BLVD E STE 230
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79915-1837
Country	:	US
Telephone Number	:	915-592-8223
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2015
Last Update Date	:	02/10/2026

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