Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAKE HERNANDEZ, PMHNP-BC
Active Sole ProprietorJAKE HERNANDEZ, PMHNP-BC is a Child & Adolescent Psychiatric Nurse healthcare provider located in WINTER PARK, Florida. NPI 1760009062 is currently active in the NPPES registry. Verify at CMS.
Child & Adolescent Psychiatric Nurse · WINTER PARK, FL
Registration Details
- NPI Number
- 1760009062
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 2, 2020 (6.1645032833392 yrs)
- Last Updated
- Jan 30, 2026
- Licenses
-
11014943 (FL)403679 (NY)732427 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
505 N PARK AVE STE 201WINTER PARK, FL, 327893268Browse FL providers · Browse ZIP 32789
- Phone
- 9292957822
- Fax
- 9292022629
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Child & Adolescent Psychiatric Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.