STACY ANN HARRIS HERNANDEZ FNP-BC NPI 1215434253

NPI Information

  • NPI: 1215434253
  • Provider Name: STACY ANN HARRIS HERNANDEZ, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2206 EXECUTIVE DR STE F
    HAMPTON, VA
    ZIP 23666
  • Phone: (757) 825-1440

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NPI Details

Stacy Ann Harris Hernandez, FNP-BC is a family nurse practitioner in Hampton, VA with 12 years of experience. Stacy Ann Harris Hernandez, FNP-BC NPI is 1215434253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:2013

The provider's business location address is:

2206 EXECUTIVE DR STE F
HAMPTON, VA
ZIP 23666-583
Phone: (757) 825-1440
Fax: (757) 825-1587

The NPI 1215434253 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2018 and was last updated on 9/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily0024186270VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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