Individual provider · Type 1 NPI

Amber Jack, APRN

Nurse Practitioner · Melbourne, FL

NPI number 1992445951 Active

Practice location

6619 N Wickham Rd
Melbourne, FL 32940-2006

Call (321) 259-9500 Map

Fax (321) 253-1777

Other practice locations

  • 6156 Breslay Dr Ste 102, Melbourne, FL 32940-8727 · (321) 259-9500

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAPRN11017398 (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 1992445951

Amber Jack, APRN's National Provider Identifier is 1992445951, issued on Mar 29, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Melbourne, FL. The record was last updated on Jun 3, 2025.