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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 years ago

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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