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Amanda Jackson, APRN,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Port St Lucie, Florida
NPI 1891476966

Amanda Jackson is a Psychiatric/Mental Health Nurse Practitioner based in Palm Beach Gardens, FL and is specialized in Psychiatric/Mental Health. Amanda Jackson practices in Port St Lucie, FL and has the professional credentials of APRN,PMHNP-BC. The NPI Number for Amanda Jackson is 1891476966 and holds a License No. APRN11027710 (Florida).

The current practice location address for Amanda Jackson is 2349 Sw Cary St, Port St Lucie, FL and can be reached out via phone at 561-815-2649.

Location: 2349 Sw Cary St, Port St Lucie, FL, 33410-2101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891476966
Provider Name
Amanda Jackson
Credential
APRN,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2349 Sw Cary St, Port St Lucie, FL, 33410-2101
Phone Number
561-815-2649
Fax Number
Provider Enumeration Date
07/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2349 Sw Cary St
City
Port St Lucie
State
Florida
Zip
34984-5002
Phone Number
561-815-2649
Fax Number
person
Provider Business Mailing Address Details
Address
2349 Sw Cary St
City
Port St Lucie
State
Florida
Zip
34984-5002
Phone Number
561-815-2649
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
APRN11027710 (Florida)
Definition
Definition to come...
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