Individual
MS. AMY JANE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2605 W SWANN AVE, SUITE 100, TAMPA, FL 33609-4039
(813) 874-5500
(813) 874-5505
Mailing address
PO BOX 18344, TAMPA, FL 33679-8344
(813) 874-5500
(813) 874-5505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP2678412
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014383200
—
FL
Enumeration date
10/01/2014
Last updated
10/06/2015
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