MEDICARE: PAMELA SUE VALLE FNP-BC, PRACTITIONER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	ARNP9351920	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841653953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA SUE VALLE FNP-BC, PRACTITIONER

Provider Business Mailing Address
First Line	:	4181 SW HIGH MEADOWS AVE
Second Line	:
City	:	PALM CITY
State	:	FL
Zip	:	34990-3725
Country	:	US
Telephone Number	:	772-221-7620
Fax Number	:	772-221-9903

Provider Business Practice Location Address
First Line	:	875 MILITARY TRL STE 200
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-5700
Country	:	US
Telephone Number	:	561-746-2411
Fax Number	:	877-370-2856

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2016
Last Update Date	:	03/27/2026

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