Healthcare Provider Details

I. General information

NPI: 1437347762
Provider Name (Legal Business Name): DENISE LAVERNE DALY-STENNIS DNP, PMHNP- BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2007
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2704 REW CIR STE 105B
OCOEE FL
34761-2994
US

IV. Provider business mailing address

PO BOX 771312
OCALA FL
34477-1312
US

V. Phone/Fax

Practice location:
  • Phone: 407-756-9325
  • Fax: 352-352-2966
Mailing address:
  • Phone: 407-756-9325
  • Fax: 352-352-2966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP1626672
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: