Provider Demographics
NPI:1528770906
Name:HERNAEZ, JANA MARINA (PA-C)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:MARINA
Last Name:HERNAEZ
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:154 W 2ND ST UNIT 304
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-1156
Mailing Address - Country:US
Mailing Address - Phone:203-551-4277
Mailing Address - Fax:
Practice Address - Street 1:152 CONANT ST STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1659
Practice Address - Country:US
Practice Address - Phone:978-922-2226
Practice Address - Fax:978-922-2269
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2025-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MAPA9097363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant