Provider Demographics
NPI:1528871951
Name:HERNANDEZ, JASMIN
Entity type:Individual
Prefix:
First Name:JASMIN
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 OHIO DR APT 272
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-1818
Mailing Address - Country:US
Mailing Address - Phone:806-316-2494
Mailing Address - Fax:
Practice Address - Street 1:9300 JOHN HICKMAN PKWY STE 103
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5712
Practice Address - Country:US
Practice Address - Phone:214-326-0263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health