Individual
JEANNETH ALEJANDRA HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4825 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3835
(405) 900-5523
Mailing address
4825 S WESTERN AVE, OKLAHOMA CITY, OK 73109-3835
(405) 900-5523
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R0112946
OK
363LF0000X
Family Nurse Practitioner
Primary
209313
OK
Other
Enumeration date
07/11/2022
Last updated
07/27/2022
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