AMANDA ELIZABETH MATTINGLY APRN NPI 1891476313

NPI Information

  • NPI: 1891476313
  • Provider Name: AMANDA ELIZABETH MATTINGLY, APRN
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 655 W 8TH ST
    JACKSONVILLE, FL
    ZIP 32209
  • Phone: (904) 244-0411

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NPI Details

Amanda Elizabeth Mattingly, APRN is an acute care nurse practitioner in Jacksonville, FL. Amanda Elizabeth Mattingly, APRN NPI is 1891476313. 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:

655 W 8TH ST
JACKSONVILLE, FL
ZIP 32209-511
Phone: (904) 244-0411

The NPI 1891476313 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 7/27/2023 and was last updated on 4/23/2025.

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
1363L00000XNurse PractitionerAPRN11025709FLORIDANo
2363LG0600XNurse PractitionerGerontologyAPRN11025709FLORIDANo
3363LA2100XNurse PractitionerAcute Care11025709FLORIDAYes

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: 11/21/2025

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