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JENALYN VICTORIA LICEA APRN
NPI 1376278978
Nurse Practitioner - Family in Middleburg, FL

Active since July 19, 2022
2050 FARM WAY, MIDDLEBURG, FL 32068(864) 334-7227 Get Directions Write a Review

NPPES record last updated: August 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 1, 2022, Jul 19, 2022 (2 updates tracked since 2022).

About Jenalyn Victoria Licea Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENALYN VICTORIA LICEA APRN (NPI 1376278978) is an individual family provider in Middleburg, Florida, licensed in Florida (11020852) and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1376278978
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENALYN VICTORIA LICEACredential: APRN
Location Address2050 FARM WAYMiddleburg, FL 32068-6796
Mailing Address2050 Farm WayMiddleburg, FL 32068-6796 · (864) 334-7227
Phone(864) 334-7227
Sole ProprietorNo
Enumeration DateJuly 19, 2022
Last NPPES UpdateAugust 1, 20222 updates tracked since enumeration
NPPES CertifiedAugust 1, 2022
✔ NPI 1376278978 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11020852
2050 FARM WAY, Middleburg, FL 32068
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OPTIMAL HOLISTIC MEDICINE
Nurse Practitioner (Family)
2050 FARM WAY
MIDDLEBURG, FL 32068
Clay County (864) 334-7227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenalyn Licea's NPI number?

The NPI number for Jenalyn Licea is 1376278978. It was assigned to this individual provider in the NPPES registry on July 19, 2022.

Where is Jenalyn Licea located?

Jenalyn Licea practices at 2050 Farm Way, Middleburg, FL 32068. The listed phone number is (864) 334-7227.

What is Jenalyn Licea's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jenalyn Licea was last updated on August 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.