Crystal Hernandez
Student in an Organized Health Care Education/Training Program in Calhoun, GA. Individual provider (NPI-1).
NPI number1356263628
StatusActive
Last updated in NPPESJul 28, 2026
Details
- NPI
- 1356263628
- Entity type
- Individual (NPI-1)
- Name
- Crystal Hernandez
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2026
- Certification date
- Jul 28, 2026
- Last updated
- Jul 28, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 363A00000X | Physician Assistant | – | – |
Practice location
220 Sonora Dr SeCalhoun, GA 30701-4071
Phone 706-263-0496
Mailing address
220 Sonora Dr SeCalhoun, GA 30701-4071
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