Provider Demographics
NPI:1881499184
Name:ATCHISON, AMANDA JAYNE (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:JAYNE
Last Name:ATCHISON
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:JAYNE
Other - Last Name:GRIFFIN-ZONIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:3200 SW 34TH AVE STE 701
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-8443
Mailing Address - Country:US
Mailing Address - Phone:877-779-2429
Mailing Address - Fax:888-248-4348
Practice Address - Street 1:3200 SW 34TH AVE STE 701
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-8443
Practice Address - Country:US
Practice Address - Phone:877-779-2429
Practice Address - Fax:888-248-4348
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-19
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11037751363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health