DR. Jesse Tellez Hernandez, NP-C

NPI #1184099558 in Fort Hall, Idaho

Provider Information

NPI Number
1184099558
Entity Type
Individual
Name
DR. Jesse Tellez Hernandez, NP-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
NP-C
Enumeration Date
Dec 10, 2015
Last Updated
Mar 30, 2022

Practice Location

Address
BUILDING 70 NAVAJO DRIVE
State
Idaho
ZIP Code
83203
Phone
(208) 478-3987

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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