Individual
MRS. CARRIE LIN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
4221 RIDGECREST RD STE 107, GREENVILLE, TX 75402-6015
(903) 454-9976
Mailing address
4055 VALLEY VIEW LN STE 700, DALLAS, TX 75244-5045
(972) 715-3800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1074272
TX
363LF0000X
Family Nurse Practitioner
53-79817-091
KS
Other
Enumeration date
11/17/2020
Last updated
02/14/2024
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