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Individual

MRS. AMANDA MARIE SPENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 463-4770
(904) 202-8549
Mailing address
4266 SUNBEAM RD, JACKSONVILLE, FL 32257-2425
(904) 463-4770
(904) 202-8549

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9404125
FL
363LP0200X
Pediatric Nurse Practitioner
COA14920-NP,RN344880
OH

Other

Enumeration date
08/01/2013
Last updated
09/28/2016
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