Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Henrique Fernandes, PA

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1558020701

Henrique Fernandes, PA is a Student in an Organized Health Care Education/Training Program in Harrison, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

714 Jersey St
Harrison, NJ 07029-2014
Phone: (973) 818-8770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1558020701
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 15, 2021
Certification dateDecember 15, 2021
Mailing address714 Jersey St, Harrison, NJ 07029-2014

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