Individual
JACQUELINE RENEE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
11398 BANDERA RD, SAN ANTONIO, TX 78250-6840
(210) 988-4751
Mailing address
14100 SAN PEDRO AVE STE 600, SAN ANTONIO, TX 78232-4363
(210) 281-8669
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1113002
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
1113002
TX
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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