Provider Demographics
NPI:1811373749
Name:HERNANDEZ, FERNANDO LUIS (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:MR
First Name:FERNANDO
Middle Name:LUIS
Last Name:HERNANDEZ
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:814 S BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:CHURCH POINT
Mailing Address - State:LA
Mailing Address - Zip Code:70525-4402
Mailing Address - Country:US
Mailing Address - Phone:337-684-3178
Mailing Address - Fax:337-684-6762
Practice Address - Street 1:814 S BROADWAY ST
Practice Address - Street 2:
Practice Address - City:CHURCH POINT
Practice Address - State:LA
Practice Address - Zip Code:70525-4402
Practice Address - Country:US
Practice Address - Phone:337-684-3178
Practice Address - Fax:337-684-6762
Is Sole Proprietor?:No
Enumeration Date:2015-08-03
Last Update Date:2025-05-12
Deactivation Date:2025-04-11
Deactivation Code:
Reactivation Date:2025-05-12
Provider Licenses
StateLicense IDTaxonomies
LAAP08485363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily