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Individual
TERRY LYNN HERNANDEZ
Active
Individual
TERRY LYNN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
112492
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
198560804
—
TX
05
—
34781889
—
NM
01
—
8N9972
TX BLUE SHIELD
TX
Enumeration date
07/03/2006
Last updated
06/01/2018
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