Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jemina Mary Pullukat

Individual provider Nurse Practitioner · NPI 1922964238

Jemina Mary Pullukat is a Nurse Practitioner in Lakeland, Florida. Qualified in 2025, 1 year ago. Practices with Lakeland Regional Health Systems Inc, a 503-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
1
Licensed in
FL
In the registry since
2025
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Practice location Address checks out

130 Pablo St
Lakeland, FL 33803-3818
Phone: (863) 284-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (5)

  • 23749 Us Highway 27, Lake Wales, FL 33859-7802 — (863) 284-6800
  • 930 Marcum Rd, Lakeland, FL 33809-4308 — (863) 284-6800
  • 2400 Kathleen Rd, Lakeland, FL 33810-3077 — (863) 284-6800
  • 5101 Us Highway 98 S, Lakeland, FL 33812-4384 — (863) 284-6800
  • 4710 S Florida Ave, Lakeland, FL 33813-2165 — (863) 284-6800

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11043272 (FL)

Record details

NPI number1922964238
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 30, 2025
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026
Mailing address1324 Lakeland Hills Blvd, Lakeland, FL 33805-4543

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Lakeland Regional Health Systems Inc — 503 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lakeland