Individual
MS. JACKLINE AWINO OKUMU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1012 FOUNTAIN COIN LOOP, ORLANDO, FL 32828-5001
(689) 688-1465
Mailing address
1012 FOUNTAIN COIN LOOP, ORLANDO, FL 32828-5001
(689) 688-1465
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9414936
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11044843
FL
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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