Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amanda Lynn Brock

Individual provider Primary Care Nurse Practitioner · NPI 1063121689

Amanda Lynn Brock is a Nurse Practitioner in Tallahassee, Florida. Qualified in 2022, 4 years ago. Practices with Tallahassee Memorial Healthcare Inc, a 497-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022

Practice location Address checks out

1511 Surgeons Dr
Tallahassee, FL 32308-4680
Phone: (850) 701-0695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 11022900 (FL)

Record details

NPI number1063121689
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 22, 2022
Last updated in NPPESNovember 22, 2022
Certification dateNovember 22, 2022
Mailing address1511 Surgeons Dr, Tallahassee, FL 32308-4680

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tallahassee Memorial Healthcare Inc — 497 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tallahassee