Individual
AMANDA VICKNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
971 AIRPORT RD, DESTIN, FL 32541-2803
(850) 654-4641
(850) 654-9295
Mailing address
971 AIRPORT RD, DESTIN, FL 32541-2803
(850) 654-4641
(850) 654-9295
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-148942
AL
363LF0000X
Family Nurse Practitioner
3010695
KY
Other
Enumeration date
09/20/2016
Last updated
12/22/2025
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