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

Jerry Daniel Fenn, MD, PHD

Individual provider Neurology Physician · NPI 1568044329

Jerry Daniel Fenn, MD, PHD is a Neurology in Gainesville, Florida. Graduated from Ohio State University College of Medicine in 2021, 5 years ago. Works from 3 locations. Licensed in Florida.

Years since qualifying
5
Trained at
Ohio State University College of Medicine
Licensed in
FL
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone: (352) 273-5550
Fax: (352) 273-5575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3009 Sw Williston Rd, Gainesville, FL 32608-3928 — (352) 294-5400
  • 1515 Sw Archer Rd, Gainesville, FL 32608-1134 — (352) 273-5550

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence ME173791 (FL)

Record details

NPI number1568044329
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedApril 22, 2021
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing addressPo Box 100236, Gainesville, FL 32610-0236

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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