Individual
JENY HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC, DNP
Contact information
Practice address
3499 MASON CT, SIMI VALLEY, CA 93063-1120
(818) 389-4677
Mailing address
3499 MASON CT, SIMI VALLEY, CA 93063-1120
(818) 389-4677
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
95005274
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
95005274
CA
363LG0600X
Gerontology Nurse Practitioner
95005274
CA
Other
Enumeration date
10/26/2016
Last updated
06/07/2024
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