Individual
AMANDA ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3625 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216-4207
(904) 702-6089
Mailing address
11068 CASTLEMAIN CIR E, JACKSONVILLE, FL 32256-2895
(904) 718-2095
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
9351190
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11004217
FL
Other
Enumeration date
03/04/2019
Last updated
08/18/2023
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