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

Jackeline Marie Hernandez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336528579

Jackeline Marie Hernandez is a Student in an Organized Health Care Education/Training Program in Dallas, Texas. Practices as a sole proprietor and works from 2 locations. Licensed in Texas.

Licensed in
TX
In the registry since
2015
Specialties on file
2

Practice location Address checks out

5330 E Mockingbird Ln Ste 120
Dallas, TX 75206-0941
Phone: (214) 821-5011
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 E 210th St, Bronx, NY 10467-2401 — (718) 920-4321

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 34972 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336528579
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 20, 2015
Last updated in NPPESJanuary 15, 2021
Certification dateJanuary 15, 2021

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