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
Fax: (251) 434-3851
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790147874 NPPES
Florida Other 4HYBA BLUE CROSS BLUE SHIELD
Florida MEDICAID 114879000 BLUE CROSS BLUE SHIELD

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