Andrea T Jelks
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
751 S Bascom Ave Ob Gyn Dept
San Jose
, California 95128-2604
Andrea T Jelks
Obstetrician & Gynecologist Gynecologist - Maternal & Fetal Medicine
751 S Bascom Ave Ob Gyn Dept
San Jose
, California 95128-2604
(408) 885-5000
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologist - Maternal & Fetal Medicine
Languages spoken
- English
Location
First Address
- Andrea T Jelks
- 751 S Bascom Ave
- San Jose, CA
- Zip : 95128-2604
- Phone : (408) 885-5000
Second Address
- Andrea T Jelks
- 751 S Bascom Ave Ob Gyn Dept
- San Jose, CA
- Zip : 95128-2604
- Phone : (408) 885-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | A77038 | CA |
| N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A77038 | CA |
National Provider Identifier
| NPI | 1326185448 |
|---|---|
| Provider Name | Andrea T Jelks |
| First Address | San Jose, CA 95128-2604 |
| Second Address | San Jose, CA 95128-2604 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/01/2007 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A770380 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.