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NPI Code Detail

MEDICARE: AMY ZINKER GLEATON FNP-BC

MEDICARE:   AMY ZINKER GLEATON  FNP-BC
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
1363LF0000XFamily Nurse Practitioner11006646FL

Other Identifiers

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

General Provider Information

NPI Number : 1255967154
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY ZINKER GLEATON FNP-BC
Provider Business Mailing Address
First Line : 317 NORTON DR STE 101
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-6044
Country : US
Telephone Number : 850-702-5940
Fax Number : 850-325-6022
Provider Business Practice Location Address
First Line : 317 NORTON DR STE 101
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32308-5965
Country : US
Telephone Number : 850-702-5940
Fax Number : 850-325-6022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2020
Last Update Date : 04/08/2025

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