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Individual

MRS. JESSICA LAINE HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
3502 22ND ST, LUBBOCK, TX 79410-1308
(806) 799-4192
Mailing address
3502 22ND ST, LUBBOCK, TX 79410-1308
(806) 799-4192

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP140365
TX

Other

Enumeration date
03/22/2019
Last updated
03/22/2019
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