IndividualActive
Amanda Young, PROVIDER
NPI 1407163314 · Contractor · Jacksonville, FL
Provider details
- NPI number
- 1407163314
- Entity type
- Individual
- Primary specialty
- ContractorOther Service Providers
- Credential
- PROVIDER
- Sex
- Female
- Sole proprietor
- Yes
- License
- 686761896 (FL)
Specialties & taxonomies
Other Service Providers
Other Service Providers
Other Service Providers
Practice location
8335 Morning Glory Rd N
Jacksonville, FL 32210-4588
Phone: (904) 378-8374
Fax: (904) 378-8374
Approximate (ZIP-level) locationGet directions
Mailing address
8335 Morning Glory Rd N
Jacksonville, FL 32210-4588
Registry dates
- Enumerated
- 2010-09-13
- Last updated
- 2010-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.