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Dr. Jesse Tellez Hernandez, NP-C
Nurse Practitioner in Fort Hall, Idaho
NPI 1184099558

Jesse Tellez Hernandez is a Nurse Practitioner based in Pocatello, ID. Jesse Tellez Hernandez practices in Fort Hall, ID and has the professional credentials of NP-C. The NPI Number for Jesse Tellez Hernandez is 1184099558 and holds a License No. NP-1663A (Idaho).

The current practice location address for Jesse Tellez Hernandez is Building 70 Navajo Drive, Fort Hall, ID and can be reached out via phone at 208-478-3987 and via fax at 208-478-4040.

Location: Building 70 Navajo Drive, Fort Hall, ID, 83205-4414
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184099558
Provider Name
Jesse Tellez Hernandez
Credential
NP-C
Provider Entity Type
Individual
Gender
Male
Address
Building 70 Navajo Drive, Fort Hall, ID, 83205-4414
Phone Number
208-478-3987
Fax Number
208-478-4040
Provider Enumeration Date
12/10/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NP-1663A 01 ID PROFESSIONAL LICENSE
11948571-4405 01 UT PROFESSIONAL LICENSE
institution
Provider Business Practice Location Address Details
Address
Building 70 Navajo Drive
City
Fort Hall
State
Idaho
Zip
83203
Phone Number
208-478-3987
Fax Number
208-478-4040
person
Provider Business Mailing Address Details
Address
Building 70 Navajo Drive
City
Fort Hall
State
Idaho
Zip
83203
Phone Number
208-478-3987
Fax Number
208-478-4040
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
NP-1663A (Idaho)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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