Most Relevant Information
Provider Data
| NPI Number: | 1003644055 |
| Provider Name: | AMANDA NICOLE DURRETT FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | APRN11033003 |
Most Important Dates
| Enumeration Date: | 07/22/2024 |
| Last Updated: | 07/22/2024 |
Provider Practice Location
14153 YOSEMITE DR STE 104
HUDSON
FL
346678065
Practice Location Phone/Fax
| Phone: | 7276053000 |
| Fax: | 7273784809 |
Provider Mailing Location
1001 MASON TUCKER DR APT KK295
SMYRNA
TN
371675633
Provider Mailing Phone/Fax
| Phone: | 6159696830 |
| Fax: |