Provider Demographics
NPI:1689424640
Name:VALDEZ, JOLENE MARIE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:JOLENE
Middle Name:MARIE
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
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Mailing Address - Street 1:600 BLAIR PARK RD STE 285
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-7855
Mailing Address - Country:US
Mailing Address - Phone:802-288-1140
Mailing Address - Fax:802-288-1144
Practice Address - Street 1:655 MAIN ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-2870
Practice Address - Country:US
Practice Address - Phone:802-447-2343
Practice Address - Fax:802-442-4636
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-25
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXF01241118363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily