Individual
MRS. AMANDA LEA SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC, MSN, RN
Contact information
Practice address
7406 FULLERTON ST, JACKSONVILLE, FL 32256-3552
(904) 802-6800
Mailing address
7406 FULLERTON ST, JACKSONVILLE, FL 32256-3552
(904) 802-6800
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9209656
FL
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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