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

Amanda Willard, APRN

Individual provider Family Nurse Practitioner · NPI 1174305098

Amanda Willard, APRN is a Nurse Practitioner in Interlachen, Florida. Qualified in 2023, 3 years ago. Practices with Rural Health Care Incorporated, a 28-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

1213 State Road 20
Interlachen, FL 32148-2737
Phone: (904) 698-9098
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11029179 (FL)

Record details

NPI number1174305098
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedOctober 16, 2023
Last updated in NPPESApril 3, 2024
Certification dateApril 3, 2024
Mailing address1302 River St, Palatka, FL 32177-5042

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Rural Health Care Incorporated — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount