Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Shujen T Fernandez, ARNP-C, CCRN

Individual provider Nurse Practitioner · NPI 1912304759

Shujen T Fernandez, ARNP-C, CCRN is a Nurse Practitioner in Orlando, Florida. Qualified in 2014, 12 years ago. Practices with Mindful Behavioral Healthcare LLC, a 12-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

10920 Moss Park Rd Ste 200
Orlando, FL 32832-6087
Phone: (407) 846-0533
Fax: (407) 518-1730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2316 Hillcrest St, Orlando, FL 32803-4900 — (407) 228-2804

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence APRN9167756 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence ARNP9167756 (FL)

Record details

NPI number1912304759
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP-C , CCRN
Sole proprietorYes
NPI enumeratedNovember 21, 2014
Last updated in NPPESOctober 19, 2021
Certification dateOctober 19, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mindful Behavioral Healthcare Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Orlando