Individual
JENNIFER M HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2868 N BROADWAY ST, CHICAGO, IL 60657-6017
(773) 569-3525
Mailing address
2868 N BROADWAY ST, CHICAGO, IL 60657-6017
(773) 469-3525
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209020078
IL
363LF0000X
Family Nurse Practitioner
Primary
209020078
IL
Other
Enumeration date
03/17/2023
Last updated
12/28/2023
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