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

Jennifer Favilla, FNP

Individual provider Family Nurse Practitioner · NPI 1568879377

Jennifer Favilla, FNP is a Nurse Practitioner in Cheyenne, Wyoming. Qualified in 2014, 12 years ago. Practices with Snowy Range Kidney Care LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
12
Licensed in
WY
In the registry since
2014
Specialties on file
3
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

800 E 20th St Ste 300
Cheyenne, WY 82001-3882
Phone: (307) 633-7444
Fax: (307) 996-1595
Show map & directions

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

Additional practice locations (1)

  • 7124 Commons Dr, Cheyenne, WY 82009-2620 — (307) 638-8975

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 1326 (WY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 34857.1326 (WY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 24857.1326 (WY)

Record details

NPI number1568879377
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJuly 14, 2014
Last updated in NPPESNovember 15, 2022
Certification dateNovember 15, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Snowy Range Kidney Care Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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