Provider Demographics
NPI:1033847181
Name:HERNANDEZ, JAMIE (MA, NBC-HWC)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:
Last Name:HERNANDEZ
Suffix:
Gender:F
Credentials:MA, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 SPYGLASS DR
Mailing Address - Street 2:
Mailing Address - City:BLUE BELL
Mailing Address - State:PA
Mailing Address - Zip Code:19422-3221
Mailing Address - Country:US
Mailing Address - Phone:917-533-6353
Mailing Address - Fax:
Practice Address - Street 1:148 SPYGLASS DR
Practice Address - Street 2:
Practice Address - City:BLUE BELL
Practice Address - State:PA
Practice Address - Zip Code:19422-3221
Practice Address - Country:US
Practice Address - Phone:917-533-6353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-08
Last Update Date:2022-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAA-3275439171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach