Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679115091 Individual Practitioner Female Practitioner

Amanda Nicole Formella , RN

Registered Nurse • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Amanda Formella, RN is a registered healthcare professional specializing in Registered Nurse in Jacksonville, FL. Practice services are available at 800 PRUDENTIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

800 Prudential Dr

Jacksonville, FL 322078211

Telephone 3525023945
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Registered Nurse in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 7.9 Yrs
Regional Practice Density
263 Specialists

Practicing in Jacksonville, FL (4872 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Registered Nurse Primary Specialty

NUCC Taxonomy Code: 163W00000X

State License FL RN9485994

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Erin Scholz , MS CCC-SLP

Speech-Language Pathologist

NPI 1003075078

MSCCCSLP

Terri Tomlinson , MSC CC-SLP

Speech-Language Pathologist

NPI 1003082702

MSCCCSLP

Michelle Antonio , PT

Physical Therapist

NPI 1003082710

Physical Therapist

Elizabeth Postupack , NURSE PRACTITIONER

Nurse Practitioner - Neonatal

NPI 1003402843

NURSEPRACTITIONER

Alyssa Moulds , CAA

Anesthesiologist Assistant

NPI 1003432451
Jamey Medders , CAA

Anesthesiologist Assistant

NPI 1003636606

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 17, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2019

Registered at 800 PRUDENTIAL DR, JACKSONVILLE, FL 322078211 (Tel: 3525023945)

📍
Updated Business Mailing Address October 17, 2019

Registered at 3848 AUTUMN LEAF CT, JACKSONVILLE, FL 322467674 (Tel: 3525023945)

👤
Provider Name / Credentials Updated October 17, 2019

Recorded as AMANDA FORMELLA, RN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2019

Registered Nurse (License #RN9485994 in FL)

🟢
Initial NPI Registration & Enumeration October 17, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679115091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2019
Last Update: October 17, 2019
Sole Proprietor: Yes

Mailing Address

3848 Autumn Leaf Ct

Jacksonville, FL 322467674

Phone: 3525023945

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.