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Individual

JACOB MICHAEL HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3601 THE VANDERBILT CLINIC, NASHVILLE, TN 37232-5169
(615) 322-3000
Mailing address
719 THOMPSON LN STE 30330, NASHVILLE, TN 37204-4701
(615) 322-3000

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26654
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11020737
FL

Other

Enumeration date
11/20/2017
Last updated
02/23/2023
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