Individual
JEMINA MARY PULLUKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 PABLO ST, LAKELAND, FL 33803-3818
(863) 284-5000
Mailing address
1324 LAKELAND HILLS BLVD, LAKELAND, FL 33805-4543
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11043272
FL
363L00000X
Nurse Practitioner
Primary
APRN11043272
FL
Other
Enumeration date
12/30/2025
Last updated
04/24/2026
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