Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JESSE TELLEZ HERNANDEZ, NP-C
ActiveDR. JESSE TELLEZ HERNANDEZ, NP-C is a Nurse Practitioner healthcare provider located in FORT HALL, Idaho. NPI 1184099558 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · FORT HALL, ID
Registration Details
- NPI Number
- 1184099558
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 10, 2015 (10.715255241616 yrs)
- Last Updated
- Mar 30, 2022
- License
-
NP-1663A (ID)
Practice Information
- Address
-
BUILDING 70 NAVAJO DRIVEFORT HALL, ID, 83203Browse ID providers · Browse ZIP 83203
- Phone
- 2084783987
- Fax
- 2084784040
- Primary Specialty
-
Nurse Practitioner
363L00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.