Individual
AMANDA DANIELLE WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7751 BAYMEADOWS RD E STE G, JACKSONVILLE, FL 32256-5836
(904) 420-6202
(904) 420-6203
Mailing address
2675 WINKLER AVE FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
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
04/14/2026
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