Individual
MR. JORGE FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
3809 COMPUTER DR STE 200, RALEIGH, NC 27609-6518
(919) 782-3782
(919) 782-3788
Mailing address
104 DARTMOUTH RD APT 512, RALEIGH, NC 27609-8416
(956) 740-3787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5020301
NC
Other
Enumeration date
10/17/2022
Last updated
10/25/2024
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