Individual ProviderJennifer HernandezCounselorBehavioral Health & Social Service ProvidersPractice Address504 Dudley St, Roxbury, MA 02119-2732(617) 445-6550PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Hernandez 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 yesterday at 12:57 PM.Profile DetailsProvider ID1871399980Provider TypeIndividualFull NameHernandez, JenniferGenderFemaleSole ProprietorNoEnumeration Date2/20/2025Last Updated2/20/2025Contact InformationPractice LocationPractice Address504 Dudley St, Roxbury, MA 02119-2732Phone(617) 445-6550FaxUnlisted FaxMailing LocationMailing Address504 Dudley St, Roxbury, MA 02119-2732Phone(617) 445-6550FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer