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NPI Code Detail

MEDICARE: MS. AMANDA Y SHEETS PA

MEDICARE: MS. AMANDA Y SHEETS PA
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
1363A00000XPhysician AssistantPA9103749FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164447462
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMANDA Y SHEETS PA
Provider Business Mailing Address
First Line : PO BOX 746647
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6647
Country : US
Telephone Number : 904-202-2092
Fax Number : 904-376-4075
Provider Business Practice Location Address
First Line : 836 PRUDENTIAL DR STE 1400
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8340
Country : US
Telephone Number : 904-388-6518
Fax Number : 904-384-1005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 08/07/2025

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Directions to “ MS. AMANDA Y SHEETS PA” Practice Location

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