Individual
JENNIFER ABIGAIL HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1108 W CLEVELAND AVE, ELKHART, IN 46516-2227
(269) 228-3232
Mailing address
1108 W CLEVELAND AVE, ELKHART, IN 46516-2227
(269) 228-3232
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
9370136886
IN
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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