Healthcare Provider Details

I. General information

NPI: 1427976703
Provider Name (Legal Business Name): AMANDA STANTON DNP, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7807 BAYMEADOWS RD E STE 208
JACKSONVILLE FL
32256-9666
US

IV. Provider business mailing address

178 PALISADE DR
SAINT AUGUSTINE FL
32092-1133
US

V. Phone/Fax

Practice location:
  • Phone: 904-330-0302
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11048178
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: