Individual
JODILYN JELSEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
500 N MONTGOMERY AVE, SHEFFIELD, AL 35660-2861
(256) 386-5504
Mailing address
6216 66TH ST APT 519, LUBBOCK, TX 79424-5941
(616) 706-3072
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
4301094356
MI
208D00000X
General Practice Physician
Primary
38123
AL
208D00000X
General Practice Physician
4301094356
MI
Other
Enumeration date
06/30/2009
Last updated
09/24/2019
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