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MR. CLARK RAFAEL HERNANDEZ PAC
NPI 1306941372
Physician Assistant in Kingsport, TN

Active since September 14, 2006
THREE SHERIDAN SQUARE, KINGSPORT, TN 37660(423) 392-6840(423) 392-6845 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Clark Rafael Hernandez Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CLARK RAFAEL HERNANDEZ PAC (NPI 1306941372) is an individual physician assistant in Kingsport, Tennessee, licensed in Tennessee (PA0000000871) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1306941372
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CLARK RAFAEL HERNANDEZCredential: PAC
Location AddressTHREE SHERIDAN SQUAREKingsport, TN 37660
Mailing AddressThree Sheridan SquareKingsport, TN 37660 · (423) 392-6840 · Fax (423) 392-6845
Phone(423) 392-6840
Fax(423) 392-6845
Sole ProprietorNo
Enumeration DateSeptember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1306941372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · PA0000000871
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
THREE SHERIDAN SQUARE, Kingsport, TN 37660
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Other Identifiers 2

Medicare UPINP49959
Medicare ID-Type Unspecified3672176TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHRISTOPHER RICHARD MORRIS MD
Internal Medicine (Rheumatology)
THREE SHERIDAN SQUARE
KINGSPORT, TN 37660
Sullivan County (423) 392-6840

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clark Hernandez's NPI number?

The NPI number for Clark Hernandez is 1306941372. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Clark Hernandez located?

Clark Hernandez practices at Three Sheridan Square, Kingsport, TN 37660. The listed phone number is (423) 392-6840.

What is Clark Hernandez's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Clark Hernandez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.