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

Lissette E Hernandez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790567410

Lissette E Hernandez is a Student in an Organized Health Care Education/Training Program in Bridgeport, Connecticut. Licensed in Connecticut. Registered with an NPI since 2023.

Licensed in
CT
In the registry since
2023

Practice location Address checks out

180 Fairfield Ave
Bridgeport, CT 06604-4252
Phone: (203) 394-6529
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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 (CT)

Record details

NPI number1790567410
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 17, 2023
Last updated in NPPESNovember 30, 2023
Certification dateNovember 30, 2023
Mailing address180 Fairfield Ave, Bridgeport, CT 06604-4252

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