AMANDA MICHELLE VINING APRN NPI 1154889640

NPI Information

NPI: 1154889640
Provider Name: AMANDA MICHELLE VINING, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: NEPTUNE BEACH SURGICAL SPECIALISTS LLC

PECOS Registration: Yes

Address:
3625 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 702-6089
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Amanda Michelle Vining, APRN is a family nurse practitioner in Jacksonville, FL with 5 years of experience. Amanda Michelle Vining, APRN NPI is 1154889640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3625 UNIVERSITY BLVD S
JACKSONVILLE, FL
ZIP 32216-207
Phone: (904) 702-6089

The NPI 1154889640 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/4/2019 and was last updated on 10/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WE0003X	Registered Nurse	Emergency	9351190	FLORIDA	No
2	363LF0000X	Nurse Practitioner	Family	APRN11004217	FLORIDA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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