Active NPIIndividual providerSole proprietor

Jake Hernandez, PMHNP-BC

Registered Nurse, Psych/Mental Health in Winter Park, Florida

NPI Number1760009062
Practice location
505 N Park Ave Ste 201, Winter Park, FL 32789-3268
Fax
929-202-2629
Last updated
January 30, 2026

Jake Hernandez is a Registered Nurse, Psych/Mental Health based in Winter Park, FL. Jake Hernandez practices in Winter Park, FL and has the professional credentials of PMHNP-BC. The NPI Number for Jake Hernandez is 1760009062 and holds a License No. 11014943 (FL). The current practice location address for Jake Hernandez is 505 N Park Ave Ste 201, Winter Park, FL 32789-3268 and can be reached out via phone at 929-295-7822 and via fax at 929-202-2629.

Provider Profile Details

NPI Number
1760009062
Provider Name
Jake Hernandez
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Male
Address
505 N Park Ave Ste 201, Winter Park, FL 32789-3268
Phone Number
929-295-7822
Fax Number
929-202-2629
Primary Taxonomy
Registered Nurse, Psych/Mental Health · 163WP0808X
Sole Proprietor
Yes
Provider Enumeration Date
July 2, 2020
Last Update Date
January 30, 2026
Certification Date
January 30, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
505 N Park Ave Ste 201
Winter Park, FL 32789-3268
State
Florida
Zip
32789-3268
Phone Number
929-295-7822
Fax Number
929-202-2629
Winter Park, FL 32789Get directions →

Provider Business Mailing Address Details

Address
442 5TH Ave
New York, NY 10018-2794
City
New York
State
NY
Zip
10018-2794
Phone Number
929-295-7822
Fax Number
929-202-2629

License Information

License Number (1)
11014943
License State (1)
FL
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
403679
License State (2)
NY
Taxonomy (2)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (3)
732427
License State (3)
NY
Taxonomy (3)
Registered Nurse, Psych/Mental Health · 163WP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jake Hernandez, PMHNP-BC?

The NPI number of Jake Hernandez, PMHNP-BC is 1760009062. It was assigned on July 2, 2020 and is currently active in the NPPES registry.

What is the specialty of Jake Hernandez, PMHNP-BC?

Jake Hernandez, PMHNP-BC is registered under the primary taxonomy Registered Nurse, Psych/Mental Health (code 163WP0808X), licensed in FL under license number 11014943.

Where does Jake Hernandez, PMHNP-BC practice?

The practice location is 505 N Park Ave Ste 201, Winter Park, FL 32789-3268. The office can be reached at 929-295-7822 (phone) or 929-202-2629 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760009062 directly on the NPPES registry website.

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