Dr. Otniel Hernandez
Nurse Practitioner Nurse Practitioner - Family Medicine
3163 Gammon Ln Ste 422
Clemmons
, North Carolina 27012-9052
Dr. Otniel Hernandez
Nurse Practitioner Nurse Practitioner - Family Medicine
3163 Gammon Ln Ste 422
Clemmons
, North Carolina 27012-9052
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Dr. Otniel Hernandez
- Po Box 601843
- Charlotte, NC
- Zip : 28260-1843
- Phone :
Second Address
- Dr. Otniel Hernandez
- 3163 Gammon Ln Ste 422
- Clemmons, NC
- Zip : 27012-9052
- Fax : (336) 310-5574
- Phone : (336) 310-5571
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Is Dr. Otniel Hernandez a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 5012043 | NC |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP3081082 | FL |
National Provider Identifier
| NPI | 1003000720 |
|---|---|
| Provider Name | Dr. Otniel Hernandez |
| First Address | Charlotte, NC 28260-1843 |
| Second Address | Clemmons, NC 27012-9052 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2007 |
| Last Update Date | 19/11/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 308614300 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.