Provider Demographics
NPI:1710504568
Name:VALENTINE, DEBORAH (FNP-C)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9331 HIGHWAY 157
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35633-4635
Mailing Address - Country:US
Mailing Address - Phone:256-702-7721
Mailing Address - Fax:
Practice Address - Street 1:9331 HIGHWAY 157
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35633-4635
Practice Address - Country:US
Practice Address - Phone:256-702-7721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-28
Last Update Date:2020-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF06200881363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily