Individual
KELSEY MAE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1600 WALLACE BLVD, AMARILLO, TX 79106-1799
(806) 212-2129
(806) 212-2246
Mailing address
PO BOX 840026, DALLAS, TX 75284-0026
(806) 212-6965
(806) 212-6278
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
1012436
TX
364SA2100X
Acute Care Clinical Nurse Specialist
1012436
TX
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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