Individual
AMANDA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
5205 E FLETCHER AVE, TEMPLE TERRACE, FL 33617-1126
(813) 987-2911
(813) 987-2853
Mailing address
2901 58TH AVE N, ST PETERSBURG, FL 33714-1326
(727) 822-4300
(727) 456-1399
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11020640
FL
Other
Enumeration date
07/11/2022
Last updated
03/08/2024
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