MEDICARE: JELINET CABAN-HERNANDEZ APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11043405	FL

General Provider Information

NPI Number	:	1841169430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JELINET CABAN-HERNANDEZ APRN

Provider Business Mailing Address
First Line	:	1601 RICKENBACKER DR
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5332
Country	:	US
Telephone Number	:	813-999-1516
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 RICKENBACKER DR
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5332
Country	:	US
Telephone Number	:	813-999-1516
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2025
Last Update Date	:	02/11/2026

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