TRACEY L HERNANDEZ LPN
NPI 1013630623
Licensed Practical Nurse in Youngstown, OH

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since September 20, 2022

550 W CHALMERS AVE, YOUNGSTOWN, OH 44511(330) 797-0070 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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Individual
Female
Licensed Practical Nurse

About TRACEY HERNANDEZ

This page provides the complete NPI Profile along with additional information for Tracey Hernandez, a provider established in Youngstown, Ohio with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1013630623 assigned on September 2022. The practitioner's primary taxonomy code is 164W00000X with license number LPN.091625.MEDS-IV (OH). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI: 1013630623 Verify this NPI
Provider Name: TRACEY L HERNANDEZ LPN
Other Name: TRACEY L VELLY
Other Name Type: Former Name (1)
Gender: Female
Entity Type: Individual
Location Address: 550 W CHALMERS AVE YOUNGSTOWN, OH 44511
Location Phone: (330) 797-0070
Mailing Address: 527 N MERIDIAN RD YOUNGSTOWN, OH 44509
Mailing Phone: (330) 797-0070
Mailing Fax: (330) 797-9146
Is Sole Proprietor?: Yes
Enumeration Date: 09-20-2022
Last Update Date: 09-20-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Licensed Practical Nurse
Taxonomy Code: 164W00000X
Type: Nursing Service Providers
License No.: LPN.091625.MEDS-IV
License State: OH
Taxonomy Description: A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.