| Mr Jenner Hernandez, APRN | |
|
203 S Old Betsy Rd Unit 686, Keene, TX 76059-2922 | |
| (817) 995-5704 | |
| Not Available |
| Full Name | Mr Jenner Hernandez |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 203 S Old Betsy Rd Unit 686, Keene, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154929669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1016976 (Texas) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 325935 (Arizona) | Secondary |
| Entity Name | Fort Worth Heart, P.A. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801939244 PECOS PAC ID: 4082696562 Enrollment ID: O20040607001334 |
| Entity Name | Regional Physician Services of Texas PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043529944 PECOS PAC ID: 6103183413 Enrollment ID: O20171121002683 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jenner Hernandez, APRN 203 S Old Betsy Rd Unit 686, Keene, TX 76059-2922 Ph: (817) 995-5704 | Mr Jenner Hernandez, APRN 203 S Old Betsy Rd Unit 686, Keene, TX 76059-2922 Ph: (817) 995-5704 |
Taylor Sorensen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 207 S Old Betsy Rd, Keene, TX 76059 Phone: 872-231-3162 |
Nanziwe Ndebele, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 906 Greenbriar Ave, Keene, TX 76059 Phone: 817-879-9339 |
Diane Erazo, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 117 Jazlyn Dr, Keene, TX 76059 Phone: 817-680-9214 |
Myrhawell Inocencio, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 612 Maurice St, Keene, TX 76059 Phone: 682-702-1601 |