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:
Health care specialties
| Specialty | Code | License # | 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 5 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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