Individual
AMANDA SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3890 JENKS AVE, LYNN HAVEN, FL 32444-4701
(850) 215-6400
Mailing address
3890 JENKS AVENUE, LYNN HAVEN, FL 32444
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
363LF0000X
Family Nurse Practitioner
Primary
ARNP9364119
FL
Other
Enumeration date
02/01/2016
Last updated
11/02/2017
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