Individual
JONATHAN HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2341 MCCALLIE AVE, SUITE 402, CHATTANOOGA, TN 37404-3239
(423) 698-3309
(423) 624-6355
Mailing address
PO BOX 3549, CHATTANOOGA, TN 37404-0549
(423) 698-3309
(423) 624-6355
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
APN11567
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3625059
—
TN
01
—
4080041
BCBS
TN
Enumeration date
02/28/2006
Last updated
04/05/2023
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