Individual
JENNIFER L HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
611 1ST AVE SW, AUSTIN, MN 55912-2504
(507) 434-4900
Mailing address
611 1ST AVE SW, AUSTIN, MN 55912-2504
(507) 434-4900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1856402
MN
Other
Enumeration date
04/12/2018
Last updated
04/12/2018
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