Van Vliet, Amanda K

Van Vliet, Amanda K is an individual health care provider with primary practice located at 1370 13Th Ave S Ste 215 , Jacksonville Beach FL 32250. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Van Vliet, Amanda K can be contacted via phone (904) 249-1041.

Contact Information

Primary practice address
1370 13Th Ave S Ste 215 Jacksonville Beach FL 32250
Phone: (904) 249-1041
Fax: (904) 249-9764
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9343112 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9343112 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP9313112 Florida

Profile Details

NPI number 1013382365
LBN Legal business name Van Vliet, Amanda K
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 10th, 2015
Last updated Jul 29th, 2021 - about 4 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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