MEDICARE: AMY B TOENJES ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SN0800X	Neuroscience Clinical Nurse Specialist	ARNP 9252123	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457334906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY B TOENJES ARNP

Provider Business Mailing Address
First Line	:	14546 OLD SAINT AUGUSTINE RD
Second Line	:	SUITE 301
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-5468
Country	:	US
Telephone Number	:	904-292-4049
Fax Number	:	904-292-4805

Provider Business Practice Location Address
First Line	:	14546 OLD SAINT AUGUSTINE RD
Second Line	:	SUITE 301
City	:	JACKSONVILLE
State	:	FL
Zip	:	32258-5468
Country	:	US
Telephone Number	:	904-292-4049
Fax Number	:	904-292-4805

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2005
Last Update Date	:	04/12/2010

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