Individual
AMANDA ELIZABETH DORR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
841 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8329
(904) 633-0920
Mailing address
841 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8329
(904) 633-0920
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
11015814
FL
Other
Enumeration date
10/15/2021
Last updated
11/25/2021
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