Provider Demographics
NPI:1285315531
Name:BYFIELD, JENIELLE AMANDA (MD, MBBS)
Entity type:Individual
Prefix:DR
First Name:JENIELLE
Middle Name:AMANDA
Last Name:BYFIELD
Suffix:
Gender:F
Credentials:MD, MBBS
Other - Prefix:DR
Other - First Name:JENIELLE
Other - Middle Name:AMANDA
Other - Last Name:DARBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MBBS
Mailing Address - Street 1:5501 OLD YORK RD # 19141
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141-3018
Mailing Address - Country:US
Mailing Address - Phone:475-236-1386
Mailing Address - Fax:
Practice Address - Street 1:5501 OLD YORK RD # 19141
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-3018
Practice Address - Country:US
Practice Address - Phone:475-236-1386
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-28
Last Update Date:2023-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program