MEDICARE: YESNELY FERNANDEZ

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11037460	FL

General Provider Information

NPI Number	:	1265246037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YESNELY FERNANDEZ

Provider Business Mailing Address
First Line	:	3347 SW 26TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-2027
Country	:	US
Telephone Number	:	786-768-1226
Fax Number	:

Provider Business Practice Location Address
First Line	:	3347 SW 26TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33133-2027
Country	:	US
Telephone Number	:	786-768-1226
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2025
Last Update Date	:	06/08/2026

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Directions to “ YESNELY FERNANDEZ ” Practice Location

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