Individual provider · Type 1 NPI

Jelissa Fernanda Hernandez Lopez, DO

Student in an Organized Health Care Education/Training Program · Lumberton, NC

NPI number 1790622751 Active

Practice location

300 W 27th St
Lumberton, NC 28358-3075

Call (980) 216-0545 Map

Mailing address

3729 Pauline Ln
Charlotte, NC 28216-8902

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 1790622751

Jelissa Fernanda Hernandez Lopez, DO's National Provider Identifier is 1790622751, issued on Apr 29, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lumberton, NC. The record was last updated on Apr 29, 2026.