Provider Demographics
NPI:1477300762
Name:CHRISTIE, VALERIE JEAN (RN)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:JEAN
Last Name:CHRISTIE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 EASTMAN LN
Mailing Address - Street 2:
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32164-6121
Mailing Address - Country:US
Mailing Address - Phone:972-550-9024
Mailing Address - Fax:
Practice Address - Street 1:703 E MOODY BLVD
Practice Address - Street 2:
Practice Address - City:BUNNELL
Practice Address - State:FL
Practice Address - Zip Code:32110-5907
Practice Address - Country:US
Practice Address - Phone:386-437-3091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-03
Last Update Date:2024-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9440216163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care