Individual provider · Type 1 NPI

Amanda K. Van Vliet

Nurse Practitioner · Jacksonville, FL

NPI number 1013382365 Active

Practice location

7406 Fullerton St
Jacksonville, FL 32256-3552

Call (904) 802-6800 Map

Fax (904) 249-9764

Mailing address

7406 Fullerton St Ste 105
Jacksonville, FL 32256-3588

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN9343112 (FL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1013382365

Amanda K. Van Vliet's National Provider Identifier is 1013382365, issued on Dec 10, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Jacksonville, FL. The record was last updated on Mar 17, 2025.