Individual provider · Type 1 NPI

Jerny Gamboa Fernandez

Student in an Organized Health Care Education/Training Program · San Antonio, TX

NPI number 1093641847 Active

Practice location

20122 Stone Oak Pkwy Ste 101
San Antonio, TX 78258-7041

Mailing address

5303 Hamilton Wolfe Rd Apt 1216
San Antonio, TX 78229-4366

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

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 1093641847

Jerny Gamboa Fernandez's National Provider Identifier is 1093641847, issued on Jun 19, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in San Antonio, TX. The record was last updated on Jun 19, 2026.