Provider Demographics
NPI:1841560034
Name:HERNANDEZ, COURTNEY M (PA-C)
Entity type:Individual
Prefix:MS
First Name:COURTNEY
Middle Name:M
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5520 JOHNSTON ST STE K
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-5138
Mailing Address - Country:US
Mailing Address - Phone:318-816-8155
Mailing Address - Fax:318-782-7055
Practice Address - Street 1:660 FACTORY OUTLET DR
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:LA
Practice Address - Zip Code:71001-3036
Practice Address - Country:US
Practice Address - Phone:318-816-8155
Practice Address - Fax:318-782-7055
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2025-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAPA200508363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical