Provider Demographics
NPI:1083093975
Name:HIERSCHE, JOYALENE ONN LIN NG (NP)
Entity Type:Individual
Prefix:
First Name:JOYALENE
Middle Name:ONN LIN NG
Last Name:HIERSCHE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 28949
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93729-8949
Mailing Address - Country:US
Mailing Address - Phone:559-228-4200
Mailing Address - Fax:559-224-3920
Practice Address - Street 1:275 W HERNDON AVE
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93612-0204
Practice Address - Country:US
Practice Address - Phone:559-324-6200
Practice Address - Fax:559-324-6280
Is Sole Proprietor?:No
Enumeration Date:2015-05-25
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9504896363LF0000X
OHCOA.17952-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA9504896OtherNURSE PRACTITIONER LICENSE
OHRN.415364OtherOHIO REGISTERED NURSE
OHCOA.17952-NPOtherNURSE PRACTITIONER LICENSE
CA742683OtherRN LICENSE