LICCY HERNANDEZ

TAMPA, FL
NPI1306479340
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  110282211)
Additional Taxonomies104100000X Social Worker
Enumeration Date2020-02-18
Last Update Date2023-11-28
Business Address
LICCY HERNANDEZ MSN, APRN, FNP-C
8902 N DALE MABRY HWY STE 102
TAMPA, FL 33614-1579
Phone number: 813-513-2156
Mailing Address
LICCY HERNANDEZ MSN, APRN, FNP-C
380 S MARTIN LUTHER KING JR AVE APT 704
CLEARWATER, FL 33756-5734
Phone number: 617-285-1529