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

Individual provider Registered Nurse · NPI 1043431588

Mrs. Jacqualyn S Fanelle, CRNA is a Registered Nurse in Vineland, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

1505 W Sherman Ave
Vineland, NJ 08360-6912
Phone: (856) 641-7859
Fax: (856) 641-7671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 26NJ00207600 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 26NR07270700 (NJ)

Record details

NPI number1043431588
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESSeptember 20, 2013

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