Provider Demographics
NPI:1902810047
Name:STRICKLER, AMY LYNN (ARNP)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:STRICKLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LYNN
Other - Last Name:TOWNSEND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 SPARROW BRANCH CIR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32259-4538
Mailing Address - Country:US
Mailing Address - Phone:904-742-9346
Mailing Address - Fax:904-642-5154
Practice Address - Street 1:10175 FORTUNE PKWY
Practice Address - Street 2:#401
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-6746
Practice Address - Country:US
Practice Address - Phone:904-519-0008
Practice Address - Fax:904-519-0007
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3133102363LP0200X, 363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003138687AMedicaid
FL009580700Medicaid
FL009580700Medicaid