Provider Demographics
NPI:1548622251
Name:HERNANDEZ, JOANNA (DNP, RN, AGACNP-BC)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:DNP, RN, AGACNP-BC
Other - Prefix:
Other - First Name:JOANNA
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, RN, AGACNP-BC
Mailing Address - Street 1:39349 CADBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-2748
Mailing Address - Country:US
Mailing Address - Phone:248-561-0693
Mailing Address - Fax:
Practice Address - Street 1:28573 SCHOENHERR RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48088-4330
Practice Address - Country:US
Practice Address - Phone:586-777-3375
Practice Address - Fax:586-777-3380
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704270939363LA2100X, 363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health