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1265289839
JACQUELINE J. HERNANDEZ
FORT WAYNE, IN
NPI
1265289839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IN 71015132A)
Enumeration Date
2024-05-02
Last Update Date
2024-05-02
Business Address
JACQUELINE J. HERNANDEZ NP
7950 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4140
Phone number: 260-432-2297
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Mailing Address
JACQUELINE J. HERNANDEZ NP
6920 POINTE INVERNESS WAY STE 200
FORT WAYNE, IN 46804-7934
Phone number: 260-479-3514
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