Individual
GRACE FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13948 86TH AVE, JAMAICA, NY 11435-3002
(718) 864-3710
Mailing address
13948 86TH AVE, JAMAICA, NY 11435-3002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
341264
NY
Other
Enumeration date
02/19/2018
Last updated
05/25/2023
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