Individual provider · Type 1 NPI
Jesse Tellez Hernandez, NP-C
Nurse Practitioner · Fort Hall, ID
Practice location
Building 70 Navajo Drive
Fort Hall, ID 83203
Fax (208) 478-4040
Mailing address
PO Box 4414
Pocatello, ID 83205-4414
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | NP-1663A (ID) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
About NPI 1184099558
Jesse Tellez Hernandez, NP-C's National Provider Identifier is 1184099558, issued on Dec 10, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Hall, ID. The record was last updated on Mar 30, 2022.