Provider Demographics
NPI:1841526076
Name:WILLIAMS, AMANDA J (ARNP, FNP-BC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:J
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:ARNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 N PARROTT AVE
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972-2110
Mailing Address - Country:US
Mailing Address - Phone:863-623-5086
Mailing Address - Fax:863-623-5093
Practice Address - Street 1:1008 N PARROTT AVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-2110
Practice Address - Country:US
Practice Address - Phone:863-623-5086
Practice Address - Fax:863-623-5093
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9260832363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner