Healthcare Provider Details

I. General information

NPI: 1457334906
Provider Name (Legal Business Name): AMY B TOENJES APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11525 VILLAGE CROSSING DR STE 1101
JACKSONVILLE FL
32256-3169
US

IV. Provider business mailing address

PO BOX 746649
ATLANTA GA
30374-6649
US

V. Phone/Fax

Practice location:
  • Phone: 904-730-3689
  • Fax: 904-730-3688
Mailing address:
  • Phone: 904-202-2092
  • Fax: 904-376-4075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN9252123
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code364SN0800X
TaxonomyNeuroscience Clinical Nurse Specialist
License NumberARNP 9252123
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: