Provider Demographics
NPI:1821771296
Name:HERNANDEZ, ALYSSA (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:ALYSSA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2534 BOCA CHICA BLVD STE 7
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78521-3497
Mailing Address - Country:US
Mailing Address - Phone:956-546-2000
Mailing Address - Fax:956-546-2001
Practice Address - Street 1:2534 BOCA CHICA BLVD STE 7
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78521-3497
Practice Address - Country:US
Practice Address - Phone:956-546-2000
Practice Address - Fax:956-546-2001
Is Sole Proprietor?:No
Enumeration Date:2023-08-10
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1130678363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily