Individual provider · Type 1 NPI

Amanda Nicole Formella, RN

Registered Nurse · Jacksonville, FL

NPI number 1679115091 Active

Practice location

800 Prudential Dr
Jacksonville, FL 32207-8211

Mailing address

3848 Autumn Leaf Ct
Jacksonville, FL 32246-7674

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN9485994 (FL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1679115091

Amanda Nicole Formella, RN's National Provider Identifier is 1679115091, issued on Oct 17, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Jacksonville, FL. The record was last updated on Oct 17, 2019.