Provider Demographics
NPI:1992533285
Name:HERNANDEZ, ALAINA LEIGH (FNP-C)
Entity type:Individual
Prefix:
First Name:ALAINA
Middle Name:LEIGH
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3505 SUMMERHILL RD STE 5
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-3596
Mailing Address - Country:US
Mailing Address - Phone:903-710-1400
Mailing Address - Fax:
Practice Address - Street 1:3505 SUMMERHILL RD STE 5
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-3596
Practice Address - Country:US
Practice Address - Phone:903-710-1400
Practice Address - Fax:903-710-1500
Is Sole Proprietor?:No
Enumeration Date:2024-07-26
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1166559207Q00000X
AR229712207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine