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

Mrs. Amanda Nicole Formella, RN

Individual provider Registered Nurse · NPI 1679115091

Mrs. Amanda Nicole Formella, RN is a Registered Nurse in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

800 Prudential Dr
Jacksonville, FL 32207-8211
Phone: (352) 502-3945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN9485994 (FL)

Record details

NPI number1679115091
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedOctober 17, 2019
Last updated in NPPESOctober 17, 2019

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