Individual provider · Type 1 NPI

Amanda Liles, APRN

Psychiatric/Mental Health Nurse Practitioner · Shalimar, FL

NPI number 1679144877 Active

Practice location

1 11th Ave Ste C1
Shalimar, FL 32579-1300

Fax (850) 595-1400

Mailing address

1221 W Lakeview Ave
Pensacola, FL 32501-1857

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XAPRN11017500 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

About NPI 1679144877

Amanda Liles, APRN's National Provider Identifier is 1679144877, issued on Jul 8, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shalimar, FL. The record was last updated on Oct 20, 2025.