Most Relevant Information
Provider Data
| NPI Number: | 1003528589 |
| Provider Name: | CARRIE JO HERNANDEZ RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 4704244064 |
Most Important Dates
| Enumeration Date: | 12/16/2022 |
| Last Updated: | 12/16/2022 |
Provider Practice Location
2215 FULLER RD
ANN ARBOR
MI
481052303
Practice Location Phone/Fax
| Phone: | 7348455598 |
| Fax: |
Provider Mailing Location
2215 FULLER RD
ANN ARBOR
MI
481052303
Provider Mailing Phone/Fax
| Phone: | 7348455598 |
| Fax: |