Individual provider · Type 1 NPI

Lourdes Chacon Hernandez

Family Nurse Practitioner · Hollywood, FL

NPI number 1265998801 Active

Practice location

3501 Johnson St Fl 1
Hollywood, FL 33021-5421

Fax (954) 450-4422

Mailing address

2900 Corporate Way # D
Miramar, FL 33025-3925

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN9551811 (FL)
Behavior Technician 106S00000XRBT-18-70812 (FL)
Family Nurse Practitioner Primary 363LF0000XAPRN11024442 (FL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X11024442 (FL)

Family Nurse Practitioner: Definition to come...

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About NPI 1265998801

Lourdes Chacon Hernandez's National Provider Identifier is 1265998801, issued on Feb 19, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hollywood, FL. The record was last updated on Feb 9, 2026.