| Doctor Name: | MR. FERNANDO LUIS HERNANDEZ |
| NPI Number: | 1811373749 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSN, APRN, FNP-BC |
| License Number: | AP08485 |
| Business Practice Address: | 814 S Broadway St Church Point, LA - 705254402 |
| Business Phone Number: | 3376843178 |
| Business Fax Number: | 3376846762 |
| Mailing Address: | 814 S Broadway St, CHURCH POINT |
| State: | LA |
| Postal Code: | 705254402 |
| Phone Number: | 3376843178 |
| Fax Number: | 3376846762 |
| NPI Enumeration Date: | 08/03/2015 |
| NPI Last Update Date: | 08/03/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP08485 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |