| Katy Jane Hernandez, ARNP | |
|
17835 Sw Galewood Dr, Sherwood, OR 97140-7904 | |
| (541) 777-9489 | |
| (503) 388-3427 |
| Full Name | Katy Jane Hernandez |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 17835 Sw Galewood Dr, Sherwood, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417555871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 202204181NP-PP (Oregon) | Primary |
| 363L00000X | Nurse Practitioner | AP61063870 (Washington) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Villagehealth Dm Llc | 2769812445 | 132 |
| Entity Name | Nisha Jackson Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124499124 PECOS PAC ID: 6305147745 Enrollment ID: O20151209000878 |
| Entity Name | Villagehealth Dm Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598273211 PECOS PAC ID: 2769812445 Enrollment ID: O20230501002184 |
| Mailing Address | Practice Location Address |
|---|---|
| Katy Jane Hernandez, ARNP 17835 Sw Galewood Dr, Sherwood, OR 97140-7904 Ph: (503) 399-2444 | Katy Jane Hernandez, ARNP 17835 Sw Galewood Dr, Sherwood, OR 97140-7904 Ph: (541) 777-9489 |
Richard Jordan Delavan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd Ste 102a, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650 | |
Christopher Edward Green, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd Ste 102, Sherwood, OR 97140 Phone: 503-216-9600 | |
Patricia K Truhn, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650 | |
Alma Sophia Draper, MSN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600 | |
Rose Waggoner, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 16770 Sw Edy Rd, Sherwood, OR 97140 Phone: 503-216-9600 Fax: 503-216-9650 | |
Julianne Florence Brock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 16770 Sw Edy Rd Ste 102, Sherwood, OR 97140 Phone: 503-216-9600 |