Individual
AMANDA LILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 11TH AVE STE C1, SHALIMAR, FL 32579-1300
(850) 332-5840
(850) 595-1400
Mailing address
1221 W LAKEVIEW AVE, PENSACOLA, FL 32501-1857
(850) 469-3500
(850) 595-1400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11017500
FL
Other
Enumeration date
07/08/2021
Last updated
10/20/2025
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