Provider Demographics
NPI:1942659792
Name:PARIS, AMANDA JILL (ARNP)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:JILL
Last Name:PARIS
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 E HILLSBORO BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33441-4348
Mailing Address - Country:US
Mailing Address - Phone:954-421-3200
Mailing Address - Fax:954-421-3201
Practice Address - Street 1:1500 E HILLSBORO BLVD STE 204
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33441-4348
Practice Address - Country:US
Practice Address - Phone:954-421-3200
Practice Address - Fax:954-421-3201
Is Sole Proprietor?:No
Enumeration Date:2016-06-11
Last Update Date:2016-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3283782163W00000X
FLARNP3283782363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology