Jacqueline Marie Hernandez, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

312564-31 Issued in WI

Practice address

1323A Indiana Ave
Sheboygan, WI 53081-4848

Phone

(920) 254-3037

NPI assigned

Jun 1, 2010

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1497074413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323A INDIANA AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814848",
            "telephone_number": "920-254-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323A INDIANA AVE",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530814848",
            "telephone_number": "920-254-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JACQUELINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WI",
            "license": "312564-31",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mai Soua Her, DNP
• Ann M Hering, OTR
• Travis Scott Hering, LAT,ATC
• John P Hermann, MD
• Andrea Hermsen, COTA
• John Hernandez, APNP
• Jeffrey A Herold, M.D.
• Suzanne S Herold, MD
• Abby Herrmann
• Herslof'S, Inc

• Licensed Practical Nurse in Sheboygan, WI
• Providers in Sheboygan, WI by specialty
• Licensed Practical Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.