Individual
JESUS A. HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
200 HAWTHORNE LANE, CHARLOTTE, NC 28204
(704) 384-6296
(704) 384-6533
Mailing address
200 HAWTHORNE LANE, CHARLOTTE, NC 28204
(704) 384-6296
(704) 384-6533
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201059
NC
Other
Enumeration date
04/30/2007
Last updated
09/06/2012
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