Individual
DR. JACQUES HOWARD AMOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DNP, APRN
Contact information
Practice address
200 SAN SEBASTIAN WAY, ST. AUGUSTINE, FL 32084
(904) 209-6234
Mailing address
1220 WILLIS AVE, DAYTONA BEACH, FL 32114-2810
(386) 236-3200
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1084092
FL
Other
Enumeration date
02/28/2007
Last updated
05/12/2015
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