Jeannette Hernandez, NP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

TAP2855 Issued in AZ

Practice address

2025 N 3Rd St Ste 170
Phoenix, AZ 85004-1425

Phone

(602) 794-2612

Fax

(602) 462-1186

NPI assigned

Sep 20, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Banner Occupational Health Arizona LLC

  • Occupational Medicine Clinic/Center
  • Phoenix, AZ
  • NPI 1144572611
  NPD (past)
• Banner Occupational Health Arizona LLC

  • Occupational Medicine Clinic/Center
  • Glendale, AZ
  • NPI 1649813445
  NPD (past)
• Banner Occupational Health Arizona LLC

  • Occupational Medicine Clinic/Center
  • Phoenix, AZ
  • NPI 1811530611
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1225224496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 E WINGED FOOT PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852497281",
            "telephone_number": "480-883-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 N 3RD ST STE 170",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850041425",
            "telephone_number": "602-794-2612",
            "fax_number": "602-462-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JEANNETTE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-20",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "TAP2855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Hernandez
• Fernanda Alexia Hernandez
• Francisco J. Hernandez, M.D.
• Irma E. Hernandez, MD
• James Ysaias Hernandez
• Jeannette A Hernandez, LPC
• Lizbeth M Hernandez
• Lorena Hernandez
• Luis A. Hernandez
• Luis Angel Hernandez

• Adult Health Nurse Practitioner in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Adult Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.