Individual
JEANNETTE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2025 N 3RD ST STE 170, PHOENIX, AZ 85004-1425
(602) 794-2612
(602) 462-1186
Mailing address
4131 E WINGED FOOT PL, CHANDLER, AZ 85249-7281
(480) 883-6902
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
TAP2855
AZ
Other
Enumeration date
09/20/2007
Last updated
02/12/2009
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