Individual
JENELLE FERNANDEZ
Active
Individual
JENELLE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
MD.48324
AL
2080P0206X
Pediatric Gastroenterology Physician
ME139345
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114879000
—
FL
01
—
4HYBA
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/28/2016
Last updated
04/17/2024
Update your record
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