Elva Hernandez-Jackson, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

54641 Issued in NM

Practice address

1209 Isleta Blvd SW
Albuquerque, NM 87105-4033

Phone

(505) 873-1973

NPI assigned

May 28, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Albuquerque Health Services

  • Methadone Clinic
  • Albuquerque, NM
  • NPI 1245554419
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1779926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1477484350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054033",
            "telephone_number": "505-873-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 ISLETA BLVD SW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871054033",
            "telephone_number": "505-873-1973"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Monroe St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871081247",
            "country_code": "US",
            "telephone_number": "505-260-9917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ-JACKSON",
        "first_name": "ELVA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-28",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NM",
            "license": "54641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Hernandez Luna
• Montserrat Hernandez Martinez, MD
• Janet Hernandez Ortiz, FNP-C
• Sarahi Hernandez Terrazas
• Karely Hernandez-Gomez
• Jose Guadalupe Hernandez-Reyes, MD
• Jesus Hernandez-Rubio, LMHC
• Adrian Hernandez
• Adriana Hernandez
• Alicia Ann Hernandez, PA-C

• Licensed Practical Nurse in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Licensed Practical Nurse in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.