Healthcare Provider Details

I. General information

NPI: 1205786068
Provider Name (Legal Business Name): STESSY BAYINAH CLERVEAU MSN, ARNP, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 01/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2623 HORNLAKE CIR
OCOEE FL
34761-8402
US

IV. Provider business mailing address

2623 HORNLAKE CIR
OCOEE FL
34761-8402
US

V. Phone/Fax

Practice location:
  • Phone: 321-320-4944
  • Fax:
Mailing address:
  • Phone: 321-320-4944
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11044745
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: