Jamilah Malikah Tulloch, PMHNP-BC - Nurse Practitioner in Deltona, FL

Jamilah Malikah Tulloch, PMHNP-BC is a Nurse Practitioner - Psychiatric/mental Health based in Deltona, Florida. Jamilah Malikah Tulloch is licensed to practice in Florida (license number 11038357) and her current practice location is 1235 Providence Blvd Ste R#1142, Ste R#1142, Deltona, Florida. She can be reached at her office (for appointments etc.) via phone at (407) 492-4917.

NPI number for Jamilah Malikah Tulloch is 1568274785 and her current mailing address is 1235 Providence Blvd Ste R#1142, Ste R#1142, Deltona, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568274785.

Contact Information

Jamilah Malikah Tulloch, PMHNP-BC
1235 Providence Blvd Ste R#1142, Ste R#1142,
Deltona, FL 32725
(407) 492-4917
Not Available

Map and Direction




Provider's Profile

Full NameJamilah Malikah Tulloch
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location1235 Providence Blvd Ste R#1142, Deltona, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1568274785
  • Provider Enumeration Date: 01/24/2025
  • Last Update Date: 05/16/2025

Medical Identifiers

Medical identifiers for Jamilah Malikah Tulloch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568274785NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 9567103 (Florida)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 11038357 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamilah Malikah Tulloch is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jamilah Malikah Tulloch, PMHNP-BC
1235 Providence Blvd Ste R#1142, Ste R#1142,
Deltona, FL 32725

Ph: (407) 492-4917
Jamilah Malikah Tulloch, PMHNP-BC
1235 Providence Blvd Ste R#1142, Ste R#1142,
Deltona, FL 32725

Ph: (407) 492-4917

Reviews and Comments


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