Individual provider · Type 1 NPI

Amanda Heesacker

Licensed Practical Nurse · St. Petersburg, FL

NPI number 1225973134 Active

Practice location

6350 22nd Ave N
St. Petersburg, FL 33710-4106

Call (407) 347-4331 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X5264241 (FL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1225973134

Amanda Heesacker's National Provider Identifier is 1225973134, issued on Apr 20, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in St. Petersburg, FL. The record was last updated on Apr 20, 2026.