person
Mallori Weaver Hernandez, NP
Psychiatric/Mental Health Nurse Practitioner in Austin, Texas
NPI 1104589183

Mallori Weaver Hernandez is a Psychiatric/Mental Health Nurse Practitioner based in Austin, TX and is specialized in Psychiatric/Mental Health. Mallori Weaver Hernandez practices in Austin, TX and has the professional credentials of NP. The NPI Number for Mallori Weaver Hernandez is 1104589183 and holds a License No. 1057095 (Texas).

The current practice location address for Mallori Weaver Hernandez is 11673 Jollyville Rd Ste 202, Austin, TX and can be reached out via phone at 512-342-7979 and via fax at 512-637-2596.

Location: 11673 Jollyville Rd Ste 202, Austin, TX, 78717-0078
person
Provider Profile Details
NPI Number
1104589183
Provider Name
Mallori Weaver Hernandez
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
11673 Jollyville Rd Ste 202, Austin, TX, 78717-0078
Phone Number
512-342-7979
Fax Number
512-637-2596
Provider Enumeration Date
10/18/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
11673 Jollyville Rd Ste 202
City
State
Zip
78759-4211
Phone Number
512-342-7979
Fax Number
512-637-2596
person
Provider Business Mailing Address Details
Address
11673 Jollyville Rd Ste 202
City
State
Zip
78759-4211
Phone Number
512-342-7979
Fax Number
512-637-2596
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
1057095 (Texas)
Definition
Definition to come...
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