Jackson, Amanda
Jackson, Amanda is an individual health care provider with primary practice located at 2349 Sw Cary St , Port St Lucie FL 34984-5002. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jackson, Amanda can be contacted via phone (561) 815-2649.Contact Information
Primary practice address
2349 Sw Cary St
Port St Lucie FL 34984-5002
Phone: (561) 815-2649
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | APRN11027710 | Florida |
Profile Details
| NPI number | 1891476966 |
|---|---|
| LBN Legal business name | Jackson, Amanda |
| Credentials | APRN, PMHNP- BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 31st, 2023 |
| Last updated | Jul 31st, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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