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

MS. Amanda K Van Vliet

Individual provider Nurse Practitioner · NPI 1013382365

MS. Amanda K Van Vliet is a Nurse Practitioner in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015

Practice location Address checks out

7406 Fullerton St
Jacksonville, FL 32256-3552
Phone: (904) 802-6800
Fax: (904) 249-9764
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence APRN9343112 (FL)

Record details

NPI number1013382365
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2015
Last updated in NPPESMarch 17, 2025
Certification dateMarch 17, 2025
Mailing address7406 Fullerton St Ste 105, Jacksonville, FL 32256-3588

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