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

Mrs. Amber Jack, APRN

Individual provider Nurse Practitioner · NPI 1992445951

Mrs. Amber Jack, APRN is a Nurse Practitioner in Melbourne, Florida. Qualified in 2021, 5 years ago. Practices with Suntree Internal Medicine, Inc, a 20-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

6619 N Wickham Rd
Melbourne, FL 32940-2006
Phone: (321) 259-9500
Fax: (321) 253-1777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6156 Breslay Dr Ste 102, Melbourne, FL 32940-8727 — (321) 259-9500

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN11017398 (FL)

Record details

NPI number1992445951
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 29, 2022
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address6619 N Wickham Rd, Melbourne, FL 32940-2006

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 Suntree Internal Medicine, Inc. — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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