| Doctor Name: | MRS. CAROLYN ANN FERNANDEZ |
| NPI Number: | 1013903954 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, MSN, APRN-BC |
| License Number: | 26NN09093100 |
| Business Practice Address: | 1945 State Route 33 Trauma Department - Jsumc Neptune, NJ - 077534859 |
| Business Phone Number: | 7327764747 |
| Business Fax Number: | 7327764843 |
| Mailing Address: | 12 Country View Dr, FREEHOLD |
| State: | NJ |
| Postal Code: | 077289023 |
| Phone Number: | 7324626976 |
| Fax Number: | 7324620132 |
| NPI Enumeration Date: | 09/26/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | 26NN09093100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |