Healthcare Provider Details

I. General information

NPI: 1255082012
Provider Name (Legal Business Name): STEPHANIE DANIELLE BARNETT APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE DANIELLE ALVAREZ

II. Dates (important events)

Enumeration Date: 01/13/2022
Last Update Date: 02/10/2026
Certification Date: 02/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1997 DANIELS RD
WINTER GARDEN FL
34787-4599
US

IV. Provider business mailing address

1997 DANIELS RD
WINTER GARDEN FL
34787-4599
US

V. Phone/Fax

Practice location:
  • Phone: 321-566-2829
  • Fax: 321-566-2839
Mailing address:
  • Phone: 321-566-2829
  • Fax: 321-566-2839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11016393
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number11016393
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: