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

Jill Fennell

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1689084485

Jill Fennell is a Pediatric Emergency Medicine (Pediatrics) Physician in Buffalo, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2014
Specialties on file
2

Practice location Address checks out

818 Ellicott St
Buffalo, NY 14203-1021
Phone: (716) 323-0034
Fax: (716) 323-0292
Show map & directions

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

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 290206 (NY)
Pediatric Emergency Medicine (Pediatrics) Physician Taxonomy 2080P0204X · Licence 290206 (NY)

Record details

NPI number1689084485
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 1, 2014
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021
Mailing address1001 Main St Fl 5, Buffalo, NY 14203-1009

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