Healthcare Provider Details

I. General information

NPI: 1902810047
Provider Name (Legal Business Name): AMY LYNN STRICKLER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMY LYNN TOWNSEND

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 01/16/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10175 FORTUNE PKWY #401
JACKSONVILLE FL
32256-6746
US

IV. Provider business mailing address

300 SPARROW BRANCH CIR
JACKSONVILLE FL
32259-4538
US

V. Phone/Fax

Practice location:
  • Phone: 904-519-0008
  • Fax: 904-519-0007
Mailing address:
  • Phone: 904-742-9346
  • Fax: 904-642-5154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number3133102
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number3133102
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: