Individual
AMANDA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, PMHNP-BC
Contact information
Practice address
5821 S WILLIAMSON BLVD STE 204, PORT ORANGE, FL 32128-6102
(386) 231-6325
Mailing address
5821 S WILLIAMSON BLVD STE 204, PORT ORANGE, FL 32128-6102
(386) 231-6325
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APN0000013916
TN
363LF0000X
Family Nurse Practitioner
Primary
APRN9329067
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN9329067
FL
Other
Enumeration date
02/19/2009
Last updated
03/17/2026
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