Healthcare Provider Details

I. General information

NPI: 1497879845
Provider Name (Legal Business Name): WANDA HERNANDEZ M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7831 RUNNYMEDE DR
JONESBORO GA
30236-2751
US

IV. Provider business mailing address

7831 RUNNYMEDE DR
JONESBORO GA
30236-2751
US

V. Phone/Fax

Practice location:
  • Phone: 678-596-6716
  • Fax: 770-960-9664
Mailing address:
  • Phone: 678-596-6716
  • Fax: 770-960-9664

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: