AMANDA B PEACOCK ACNP NPI 1669721155

NPI Information

Amanda B Peacock, ACNP is an acute care nurse practitioner in Jacksonville, FL with 12 years of experience. Amanda B Peacock, ACNP NPI is 1669721155. 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:

3 SHIRCLIFF WAY
SUITE 714
JACKSONVILLE, FL
ZIP 32204-757
Phone: (904) 308-2006
Fax: (904) 308-7111

The NPI 1669721155 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Insertion of spinal instrumentation for spinal stabilization (HCPCS:22851)

The enumeration date for this NPI number is 8/30/2012 and was last updated on 2/11/2021.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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