| Doctor Name: | SAMNIENG M HERNANDEZ |
| NPI Number: | 1821189879 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APN |
| License Number: | R68707 |
| Business Practice Address: | 1652 State Highway 22 W Dardanelle, AR - 728342909 |
| Business Phone Number: | 4792298000 |
| Business Fax Number: | 4794773927 |
| Mailing Address: | Po Box 700, DARDANELLE |
| State: | AR |
| Postal Code: | 728340700 |
| Phone Number: | 4792298000 |
| Fax Number: | 4794773927 |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 02/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | R68707 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |