Healthcare Provider Details

I. General information

NPI: 1598688665
Provider Name (Legal Business Name): JENNIFER LYNN VALERIO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 10/04/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2692 W LAKE MARY BLVD
LAKE MARY FL
32746-3535
US

IV. Provider business mailing address

4960 SW 72ND AVE STE 405
MIAMI FL
33155-5506
US

V. Phone/Fax

Practice location:
  • Phone: 321-710-8027
  • Fax: 407-333-9974
Mailing address:
  • Phone: 469-458-9222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11049179
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: