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

Mr. Garrett Levi Ambuehl, AGPCNP-C

Individual provider Primary Care Nurse Practitioner · NPI 1891476719

Mr. Garrett Levi Ambuehl, AGPCNP-C is a Nurse Practitioner in Jacksonville, Florida. Qualified in 2021, 5 years ago. Practices with Dover Shores Family Practice, a 14-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2023

Practice location Address checks out

1401 Riverplace Blvd Apt 1602
Jacksonville, FL 32207-9095
Phone: (618) 267-0160
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 11025517 (FL)

Record details

NPI number1891476719
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP-C
Sole proprietorNo
NPI enumeratedJuly 25, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 12, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Dover Shores Family Practice — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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