Individual provider · Type 1 NPI

Jessica D. Hernandez

Student in an Organized Health Care Education/Training Program · Colville, WA

NPI number 1083330757 Active

Practice location

165 E Hawthorne Ave
Colville, WA 99114-2629

Fax (509) 684-5286

Specialties and licenses

TaxonomyCodeLicense
Nurse's Aide 376K00000XCG61114367 (WA)
Student in an Organized Health Care Education/Training Program Primary 390200000XCG61114367 (WA)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083330757

Jessica D. Hernandez's National Provider Identifier is 1083330757, issued on Oct 14, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Colville, WA. The record was last updated on Oct 14, 2022.