Healthcare Provider Details

I. General information

NPI: 1740728385
Provider Name (Legal Business Name): CHERYL HERNANDEZ ACAGNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2017
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2451 CROWNE POINT DR
CINCINNATI OH
45241-5407
US

IV. Provider business mailing address

2451 CROWNE POINT DR
CINCINNATI OH
45241-5407
US

V. Phone/Fax

Practice location:
  • Phone: 855-490-9434
  • Fax: 216-238-9526
Mailing address:
  • Phone: 855-490-9434
  • Fax: 216-238-9526

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number3009769
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.020540
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: