AMANDA JACKSON

PORT ST LUCIE, FL
NPI1891476966
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: FL  APRN11027710)
Enumeration Date2023-07-31
Last Update Date2023-07-31
Business Address
AMANDA JACKSON APRN, PMHNP- BC
2349 SW CARY ST
PORT ST LUCIE, FL 34984-5002
Phone number: 561-815-2649
Mailing Address
AMANDA JACKSON APRN, PMHNP- BC
204 MIRAMAR LN
PALM BEACH GARDENS, FL 33410-2101
Phone number: 561-601-8565
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