Individual
CHRISTOPHER PAUL HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
877 JEFFEON AVE, MEMPHIS, TN 38103
(901) 545-7100
Mailing address
1265 UNION AVE, MEMPHIS, TN 38104-3415
(901) 516-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN0000023621
TN
Other
Enumeration date
10/15/2018
Last updated
08/08/2022
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