Individual
JENNIFER HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
3604 MEDICAL PARK CT, MOREHEAD CITY, NC 28557-4347
(252) 240-5437
Mailing address
118 HENDERSON DR, NEWPORT, NC 28570-0269
(760) 368-7781
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
5016368
NC
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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