Individual
JENNIFER LYNN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 MAPLE ST, GREENSBORO, NC 27405-6910
(336) 641-7651
Mailing address
2214 BRANDERWOOD DR, GREENSBORO, NC 27407-6072
(646) 250-2548
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
343232
NC
163W00000X
Registered Nurse
582404-01
NY
Other
Enumeration date
12/06/2022
Last updated
12/19/2022
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