Provider Demographics
NPI:1922725266
Name:DE JESUS-HERNANDEZ, JULIE ROSE ESLAO (MSN APRN NNP-BC)
Entity Type:Individual
Prefix:
First Name:JULIE ROSE
Middle Name:ESLAO
Last Name:DE JESUS-HERNANDEZ
Suffix:
Gender:F
Credentials:MSN APRN NNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4309 STILLWATER CV
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-1448
Mailing Address - Country:US
Mailing Address - Phone:956-373-8560
Mailing Address - Fax:
Practice Address - Street 1:4309 STILLWATER CV
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-1448
Practice Address - Country:US
Practice Address - Phone:956-373-8560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1095782363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care