NPI Code Details Logo

NPI 1215340534

NPI 1215340534 : MERCEDES RIVERA HERNANDEZ NP : JACKSONVILLE, FL

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1215340534
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    MERCEDES RIVERA HERNANDEZ NP
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    06/04/2014
-----------------------------------------------------
    Last Update Date     |    09/24/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    5000-4 NORWOOD AVE 
-----------------------------------------------------
    City                 |    JACKSONVILLE
-----------------------------------------------------
    State                |    FL
-----------------------------------------------------
    Zip                  |    32208-5001
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    904-869-4257
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    102 WOODMONT BLVD STE 600 
-----------------------------------------------------
    City                 |    NASHVILLE
-----------------------------------------------------
    State                |    TN
-----------------------------------------------------
    Zip                  |    37205-5250
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    888-987-1151
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    11013941
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    163W00000X
-----------------------------------------------------
    Taxonomy Name        |    Registered Nurse
-----------------------------------------------------
    License Number       |    9335865
-----------------------------------------------------
    License Number State |    FL
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.