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NPI Code Detail

MEDICARE: JESSICA HERNANDEZ

MEDICARE: JESSICA HERNANDEZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse262477TN

General Provider Information

NPI Number : 1407784275
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA HERNANDEZ
Provider Business Mailing Address
First Line : 87 DADDYS CREEK LN
Second Line :
City : CROSSVILLE
State : TN
Zip : 38555-1569
Country : US
Telephone Number : 931-287-1475
Fax Number :
Provider Business Practice Location Address
First Line : 42 DOOLEY ST
Second Line :
City : CROSSVILLE
State : TN
Zip : 38555-4055
Country : US
Telephone Number : 931-707-7117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2026
Last Update Date : 05/12/2026

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Directions to “ JESSICA HERNANDEZ ” Practice Location

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