Individual ProviderJenifer Estephania FernandezLicensed Practical NurseNursing Service ProvidersPractice Address81 Baker St, Patchogue, NY 11772-3814(631) 902-5970PECOS EnrollmentBased on the most recent information from CMS, provider Jenifer Estephania Fernandez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1710771050Provider TypeIndividualFull NameFernandez, Jenifer EstephaniaGenderFemaleSole ProprietorNoEnumeration Date4/9/2025Last Updated4/9/2025Contact InformationPractice LocationPractice Address81 Baker St, Patchogue, NY 11772-3814Phone(631) 902-5970FaxUnlisted FaxMailing LocationMailing Address81 Baker St, Patchogue, NY 11772-3814Phone(631) 902-5970FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode164W00000XPrimaryDescriptionLicensed Practical NurseNursing Service ProvidersLicense350687New York