MEDICARE: AMI BLEVINS APRN

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APRN11043968	FL

General Provider Information

NPI Number	:	1568325363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMI BLEVINS APRN

Provider Business Mailing Address
First Line	:	47 5TH ST NW
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4672
Country	:	US
Telephone Number	:	352-697-0941
Fax Number	:

Provider Business Practice Location Address
First Line	:	47 5TH ST NW
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-4672
Country	:	US
Telephone Number	:	352-697-0941
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ AMI BLEVINS APRN” Practice Location

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