Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Devon Fennelly, CRNP

Individual provider Gerontology Nurse Practitioner · NPI 1962235713

Devon Fennelly, CRNP is a Nurse Practitioner in Malvern, Pennsylvania. Qualified in 2015, 11 years ago. Practices with Rehabilitation Associates of the Main Line, PC, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
11
Licensed in
PA
In the registry since
2024
Specialties on file
3
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

414 Paoli Pike
Malvern, PA 19355-3311
Phone: (484) 596-5981
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11 Industrial Blvd, Paoli, PA 19301-1632 — (610) 467-8910

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP029362 (PA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence SP029362 (PA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence SP029362 (PA)

Record details

NPI number1962235713
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorNo
NPI enumeratedAugust 26, 2024
Last updated in NPPESAugust 26, 2024
Certification dateAugust 26, 2024
Mailing address404 Flagstone Cir, Coatesville, PA 19320-1682

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Rehabilitation Associates Of The Main Line, P.C. — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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