Healthcare Provider Details

I. General information

NPI: 1699077420
Provider Name (Legal Business Name): JOELLE J FELLINGER RN, PMHCNS-BC, APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2010
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

W6240 COMMUNICATION CT STE 2
APPLETON WI
54914-8549
US

IV. Provider business mailing address

W6240 COMMUNICATION CT STE 2
APPLETON WI
54914-8549
US

V. Phone/Fax

Practice location:
  • Phone: 920-364-0747
  • Fax: 920-364-0747
Mailing address:
  • Phone: 920-364-0747
  • Fax: 920-364-0747

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number2042-033
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: