Individual
AMANDA JON MCNALLY YATABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
755 RINEHART RD STE 100, LAKE MARY, FL 32746-4885
(407) 875-3700
Mailing address
755 RINEHART RD STE 100, LAKE MARY, FL 32746-4885
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
APRN11011170
FL
363L00000X
Nurse Practitioner
11011170
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN11011170
FL
Other
Enumeration date
01/20/2021
Last updated
08/25/2025
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