Individual
JESUS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
510 E LISA DR, CHAPARRAL, NM 88081
(575) 824-0820
(575) 824-1021
Mailing address
385 CALLE DE ALEGRA, BLDG. A, LAS CRUCES, NM 88005-3417
(575) 526-1105
(575) 524-4266
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP-01621
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
28820533
—
NM
01
—
NMA100721
MEDICARE
NM
Enumeration date
06/11/2010
Last updated
08/28/2018
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