Individual
AMANDA ELIZABETH MATTINGLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11025709
FL
363LA2100X
Acute Care Nurse Practitioner
Primary
11025709
FL
363LG0600X
Gerontology Nurse Practitioner
APRN11025709
FL
Other
Enumeration date
07/27/2023
Last updated
04/23/2025
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