Healthcare Provider Details

I. General information

NPI: 1952357154
Provider Name (Legal Business Name): CINDY HERNANDEZ APMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 04/28/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 HIGHWAY 39 N SUITE B
MERIDIAN MS
39301-1021
US

IV. Provider business mailing address

PO BOX 520
MARION MS
39342-0520
US

V. Phone/Fax

Practice location:
  • Phone: 601-453-5366
  • Fax: 888-735-7202
Mailing address:
  • Phone: 601-453-5393
  • Fax: 888-735-7202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP9242866
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: