Individual
JEAN L. KERNAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS-AD
Contact information
Practice address
1250 8TH AVE, SUITE 515, FORT WORTH, TX 76104-4124
(817) 922-4675
(817) 922-4645
Mailing address
1250 8TH AVE, SUITE 515, FORT WORTH, TX 76104-4124
(817) 922-4675
(817) 922-4645
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
748256
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286848101
—
TX
05
—
286848102
—
TX
Enumeration date
11/04/2011
Last updated
04/08/2022
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