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Individual
GINA FERNANDO
Active
Individual
GINA FERNANDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
277004429
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277004429
IL
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
277004429
IL
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
277004429
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209021437
APN LICENSE
IL
Enumeration date
06/24/2020
Last updated
09/23/2026
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