Individual
JENIFER GEHLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508
(254) 935-5063
Mailing address
2401 S 31ST ST, TEMPLE, TX 76508-0001
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
5101024469
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
T4164
TX
390200000X
Student in an Organized Health Care Education/Training Program
5101022521
MI
Other
Enumeration date
06/21/2016
Last updated
01/17/2022
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