Individual
JENELLE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1601 CENTER ST, MOBILE, AL 36604-1541
(251) 410-5437
(251) 434-3851
Mailing address
PO BOX 746450, ATLANTA, GA 30374-6450
(866) 401-3057
(308) 868-6430
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
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