Individual provider · Type 1 NPI
John Fernon Jr.
Family Nurse Practitioner · Orange, TX
NPI number
1033577754
Active
Practice location
149 Parish Rd
Orange, TX 77632-7002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 661127 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1033577754
John Fernon Jr.'s National Provider Identifier is 1033577754, issued on Feb 9, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Orange, TX. The record was last updated on Feb 9, 2016.