Healthcare Provider Details

I. General information

NPI: 1841653953
Provider Name (Legal Business Name): PAMELA SUE VALLE FNP-BC, PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAMELA SUE VALLE NURSE PRACTITIONER,

II. Dates (important events)

Enumeration Date: 04/05/2016
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

875 MILITARY TRL STE 200
JUPITER FL
33458-5700
US

IV. Provider business mailing address

4181 SW HIGH MEADOWS AVE
PALM CITY FL
34990-3725
US

V. Phone/Fax

Practice location:
  • Phone: 561-746-2411
  • Fax: 877-370-2856
Mailing address:
  • Phone: 772-221-7620
  • Fax: 772-221-9903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9351920
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: