Provider Demographics
NPI:1538712013
Name:VALENTE, VANESSA V OLIVEIRA (RN)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:V OLIVEIRA
Last Name:VALENTE
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:10140 CENTURION PKWY N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-0532
Mailing Address - Country:US
Mailing Address - Phone:904-697-4000
Mailing Address - Fax:904-697-5102
Practice Address - Street 1:807 CHILDRENS WAY
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32207-8426
Practice Address - Country:US
Practice Address - Phone:904-697-3600
Practice Address - Fax:904-697-3601
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-23
Last Update Date:2019-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLRN93477332086S0120X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery