Individual provider · Type 1 NPI
Jenalyn Victoria Licea, APRN
Family Nurse Practitioner · Middleburg, FL
NPI number
1376278978
Active
Practice location
2050 Farm Way
Middleburg, FL 32068-6796
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 11020852 (FL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1376278978
Jenalyn Victoria Licea, APRN's National Provider Identifier is 1376278978, issued on Jul 19, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Middleburg, FL. The record was last updated on Aug 1, 2022.