Individual provider · NPI-1
Jean L. Kernal, CNS-AD
Clinical Nurse Specialist, Adult Health · Fort Worth, TX
NPI number1972880946
StatusActive
Last updated in NPPESApr 8, 2022
Details
- NPI
- 1972880946
- Entity type
- Individual (NPI-1)
- Name
- Jean L. Kernal
- Credential
- CNS-AD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 4, 2011
- Certification date
- Apr 8, 2022
- Last updated
- Apr 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist, Adult Health | 748256 | TX | Yes |
Practice location
1250 8th AveSuite 515
Fort Worth, TX 76104-4124
Phone 817-922-4675 · Fax 817-922-4645
Mailing address
1250 8th AveSuite 515
Fort Worth, TX 76104-4124
Phone 817-922-4675 · Fax 817-922-4645
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