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

Jacqueline Marie Hernandez

Individual provider Internal Medicine Physician · NPI 1871293779

Jacqueline Marie Hernandez is a Nurse Practitioner in Hesperia, California. Practices with Providence Medical Foundation, a 1,465-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

15398 Main St
Hesperia, CA 92345-3390
Phone: (760) 927-6112
Show map & directions

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

Additional practice locations (2)

  • 18310 Ca-18 W, Apple Valley, CA 92307 — (760) 961-6555
  • 12550 Hesperia Rd, Victorville, CA 92395-5873 — (760) 381-7703

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 95022528 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 95022528 (CA)

Record details

NPI number1871293779
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 8, 2023
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hesperia