Fernandez, Jenelle
Fernandez, Jenelle is an individual health care provider with primary practice located at 1601 Center St , Mobile AL 36604-1541. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as her primary health care specialty. Fernandez, Jenelle can be contacted via phone (251) 410-5437.Contact Information
Primary practice address
1601 Center St
Mobile AL 36604-1541
Phone: (251) 410-5437
Fax: (251) 434-3851
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | ME139345 | Florida |
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | MD.48324 | Alabama |
Profile Details
NPI number | 1790147874 |
---|---|
LBN Legal business name | Fernandez, Jenelle |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2016 |
Last updated | Apr 17th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790147874 | NPPES |
Florida | Other | 4HYBA | BLUE CROSS BLUE SHIELD |
Florida | MEDICAID | 114879000 | BLUE CROSS BLUE SHIELD |
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