Individual
JESUS JOSE HERNANDEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 212-2129
Mailing address
5813 S RUSK ST, AMARILLO, TX 79118-8812
(806) 212-2129
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1212432
TX
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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