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Individual

JAKE HERNANDEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
505 N PARK AVE STE 201, WINTER PARK, FL 32789-3268
(929) 295-7822
(929) 202-2629
Mailing address
442 5TH AVE, NEW YORK, NY 10018-2794
(929) 295-7822
(929) 202-2629

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
732427
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
11014943
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
403679
NY

Other

Enumeration date
07/02/2020
Last updated
01/30/2026
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