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

Jacqueline Phaedra Hernandez

Individual provider Community Health Worker · NPI 1861259707

Jacqueline Phaedra Hernandez is a Community Health Worker in Santa Cruz, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178
Phone: (831) 469-1700
Fax: (831) 425-1905
Show map & directions

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

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X (CA)
Community Health Worker Taxonomy 172V00000X (CA)

Record details

NPI number1861259707
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2024
Last updated in NPPESApril 17, 2025
Certification dateApril 17, 2025

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