Individual
AMANDA WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2511 SAINT JOHNS BLUFF RD S STE 201, JACKSONVILLE, FL 32246-2345
(904) 384-2240
(904) 486-2314
Mailing address
915 W MONROE ST STE 200, JACKSONVILLE, FL 32204-1177
(904) 384-2240
(904) 486-2314
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN9354769
FL
363LF0000X
Family Nurse Practitioner
Primary
APRN9354769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111229400
—
FL
01
—
9Z3NF
BCBS
FL
01
—
N4261
MEDICARE
FL
Enumeration date
03/01/2018
Last updated
07/02/2026
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