Individual
AMY CHRISTINE POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1689 EAGLE HARBOR PKWY, FLEMING ISLAND, FL 32003-4817
(904) 269-1366
Mailing address
705 WELLS RD STE 300, ORANGE PARK, FL 32073-2982
(904) 282-6331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11021687
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11021687
FL
Other
Enumeration date
09/02/2022
Last updated
10/21/2022
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