Individual
JAMILAH MALIKAH TULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
200 E ROBINSON ST STE 425, ORLANDO, FL 32801-4347
(833) 769-3524
(407) 583-4988
Mailing address
200 E ROBINSON ST STE 425, ORLANDO, FL 32801-4347
(833) 769-3524
(407) 583-4988
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN9567103
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11038357
FL
Other
Enumeration date
01/24/2025
Last updated
10/24/2025
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